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General NPI Number Information
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NPI Number | 1518877307
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Entity Type | Individual
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Provider Name | BENJAMIN CHARLES BERKEBILE
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Gender | Male
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Dates
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Enumeration Date | 09/11/2026
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Last Update Date | 09/11/2026
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Provider Practice Location Address
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Address Line | 200 LOTHROP ST
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City | PITTSBURGH
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State | PA
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Zip | 15213-2536
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Country | US
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Telephone | 421-647-2345
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Fax |
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Provider Business Mailing Address
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Address Line | 118 MIZEL LN
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City | JOHNSTOWN
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State | PA
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Zip | 15902-1327
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Country | US
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Telephone | 814-421-3364
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | MA068215
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License Number State | PA
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