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General NPI Number Information
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NPI Number | 1811419088
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Entity Type | Organization
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Legal Business Name | INFUSION CENTER OF BERKS COUNTY PC
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Dates
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Enumeration Date | 07/10/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2760 CENTURY BLVD STE 3
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City | WYOMISSING
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State | PA
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Zip | 19610-3359
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Country | US
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Telephone | 610-375-4251
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Fax | 610-685-2870
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Provider Business Mailing Address
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Address Line | 2760 CENTURY BLVD STE 3
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City | WYOMISSING
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State | PA
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Zip | 19610-3359
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Country | US
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Telephone | 610-375-4251
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Fax | 610-685-2870
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL/MD
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Name | MICHAEL BOROFSKY
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Credential | MD
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Telephone | 610-375-4251
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State | PA
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