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General NPI Number Information
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NPI Number | 1730112251
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Entity Type | Organization
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Legal Business Name | FAIRVIEW HOSPITAL
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 01/23/2012
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Provider Practice Location Address
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Address Line | 29 LEWIS AVE
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City | GREAT BARRINGTON
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State | MA
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Zip | 01230-1713
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Country | US
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Telephone | 413-528-0790
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1172
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City | PITTSFIELD
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State | MA
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Zip | 01202-1172
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Country | US
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Telephone | 413-447-2000
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Fax | 413-447-2803
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MRS. DARLENE RODOWICZ
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Credential |
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Telephone | 413-447-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 2052
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License Number State | MA
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