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General NPI Number Information
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NPI Number | 1730145087
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Entity Type | Individual
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Provider Name | SUZANNE T BERLIN DO
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Gender | Female
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Dates
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Enumeration Date | 04/25/2006
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Last Update Date | 03/12/2018
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Provider Practice Location Address
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Address Line | LAHEY HEMATOLOGY AND ONCOLOGY AT PARKLAND, DERRY 6 TSIENNTO RD., SUITE 101LL
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City | DERRY
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State | NH
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Zip | 03038-1584
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Country | US
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Telephone | 603-537-2060
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Fax | 603-537-2062
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Provider Business Mailing Address
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Address Line | PO BOX 911
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City | BRATTLEBORO
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State | VT
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Zip | 05302-0911
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Country | US
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Telephone | 207-985-7601
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Fax | 207-396-8381
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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 | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 58198
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 16747
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | DO1698
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License Number State | ME
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