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General NPI Number Information
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NPI Number | 1760746507
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Entity Type | Individual
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Provider Name | ANTHONY ROCCO GIOVANONE D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/26/2012
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Last Update Date | 07/14/2023
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Provider Practice Location Address
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Address Line | 10 WENDELL AVENUE EXT
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City | PITTSFIELD
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State | MA
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Zip | 01201-6283
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Country | US
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Telephone | 802-233-4291
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Fax |
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Provider Business Mailing Address
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Address Line | 16 ALPINE TRL
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City | PITTSFIELD
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State | MA
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Zip | 01201-8844
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Country | US
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Telephone | 802-233-4291
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Fax |
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 252277
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 262815
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License Number State | MA
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