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General NPI Number Information
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NPI Number | 1770620296
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Entity Type | Individual
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Provider Name | SARAH C. MARSHALL PH.D.
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Gender | Female
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 02/13/2015
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Provider Practice Location Address
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Address Line | 197 SOUTH ST BERKSHIRE MEMORY SERVICES
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City | PITTSFIELD
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State | MA
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Zip | 01201-6812
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Country | US
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Telephone | 413-445-9944
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Fax | 413-442-5955
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Provider Business Mailing Address
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Address Line | 197 SOUTH ST BERKSHIRE MEMORY SERVICES
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City | PITTSFIELD
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State | MA
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Zip | 01201-6812
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Country | US
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Telephone | 413-445-9944
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Fax | 413-442-5955
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 7350
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License Number State | MA
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