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NPI 1508764812

NPI 1508764812 : METROWEST NEUROPSYCHIATRY PLLC : PITTSFIELD, MA

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General NPI Number Information
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    NPI Number           |    1508764812
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    Entity Type          |    Organization 
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    Legal Business Name  |    METROWEST NEUROPSYCHIATRY PLLC 
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Dates
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    Enumeration Date     |    10/27/2026
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    Last Update Date     |    10/27/2026
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Provider Practice Location Address
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    Address Line         |    82 WENDELL AVE STE 100 
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    City                 |    PITTSFIELD
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    State                |    MA
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    Zip                  |    01201-7066
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    Country              |    US
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    Telephone            |    857-299-8887
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    82 WENDELL AVE STE 100 
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    City                 |    PITTSFIELD
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    State                |    MA
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    Zip                  |    01201-7066
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     ANA MARIA  RIVAS GRAJALES 
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    Credential           |    MD
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    Telephone            |    857-299-8887
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2084B0040X
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    Taxonomy Name        |    Behavioral Neurology & Neuropsychiatry Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    
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    License Number State |    
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