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General NPI Number Information
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NPI Number | 1811889736
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Entity Type | Individual
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Provider Name | VIRA BERKOBEIN
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Gender | Female
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Dates
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Enumeration Date | 07/16/2025
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 85 MAIN ST
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City | CARVER
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State | MA
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Zip | 02330-1373
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Country | US
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Telephone | 508-866-6220
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Fax |
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Provider Business Mailing Address
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Address Line | 36 MYLES STANDISH DR
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City | CARVER
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State | MA
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Zip | 02330-1630
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Country | US
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Telephone | 617-869-5309
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | PENDING
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License Number State | MA
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