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General NPI Number Information
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NPI Number | 1609918283
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Entity Type | Organization
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Legal Business Name | CHARLES F. ROSS, DPM, PC
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 03/07/2008
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Provider Practice Location Address
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Address Line | 10 2ND ST
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City | PITTSFIELD
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State | MA
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Zip | 01201-6204
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Country | US
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Telephone | 413-443-2468
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Fax | 413-499-2768
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Provider Business Mailing Address
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Address Line | 10 2ND ST
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City | PITTSFIELD
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State | MA
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Zip | 01201-6204
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Country | US
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Telephone | 413-443-2468
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Fax | 413-499-2768
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHARLES FREDEDRICK ROSS
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Credential | D.P.M.
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Telephone | 413-443-2468
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | 1845
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License Number State | MA
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