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General NPI Number Information
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NPI Number | 1902694318
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Entity Type | Individual
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Provider Name | GERSHON ROSEN OTR/L
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Gender | Male
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Dates
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Enumeration Date | 04/26/2025
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Last Update Date | 04/26/2025
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Provider Practice Location Address
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Address Line | 24 PARK ST
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City | PITTSFIELD
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State | MA
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Zip | 01201-0900
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Country | US
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Telephone | 413-499-6600
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Fax |
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Provider Business Mailing Address
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Address Line | 22 DRURY LN
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City | EASTHAMPTON
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State | MA
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Zip | 01027-9742
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Country | US
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Telephone | 914-433-3580
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OTL15559
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License Number State | MA
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