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General NPI Number Information
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NPI Number | 1558575225
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Entity Type | Individual
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Provider Name | TERESA DIRENZO BERKOWICZ PHARMD
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Gender | Female
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 125 PATERSON ST
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City | NEW BRUNSWICK
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State | NJ
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Zip | 08901-1962
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Country | US
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Telephone | 732-235-8558
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Fax | 732-235-8658
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Provider Business Mailing Address
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Address Line | 42 RIDGEVIEW WAY
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City | ALLENTOWN
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State | NJ
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Zip | 08501-1963
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Country | US
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Telephone | 609-336-0313
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Fax | 732-235-8658
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28RI02687100
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License Number State | NJ
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