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General NPI Number Information
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NPI Number | 1578727319
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Entity Type | Organization
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Legal Business Name | LOUISE BERKOWICZ
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Dates
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Enumeration Date | 07/10/2008
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Last Update Date | 07/10/2008
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Provider Practice Location Address
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Address Line | 1101 MADISON SUITE 200
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City | SEATTLE
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State | WA
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Zip | 98104
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Country | US
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Telephone | 206-386-2013
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Fax |
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Provider Business Mailing Address
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Address Line | 1101 MADISON SWEDISH PAIN AND HEADACHE CENTER SUITE 200
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City | SEATTLE
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State | WA
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Zip | 98104
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Country | US
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Telephone | 206-386-2013
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Fax |
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Authorized Official
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Title or Position | PROPRIETER
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Name | LOUISE BERKOWICZ
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Credential | M.D.
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Telephone | 206-386-2013
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number | MD00040194
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License Number State | WA
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