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General NPI Number Information
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NPI Number | 1982103156
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Entity Type | Organization
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Legal Business Name | BERKSHIRE DENTAL ARTS, PC
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Dates
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Enumeration Date | 02/02/2018
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Last Update Date | 05/02/2019
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Provider Practice Location Address
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Address Line | 435 SOUTH ST
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City | PITTSFIELD
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State | MA
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Zip | 01201-6892
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Country | US
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Telephone | 413-442-7213
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Fax | 413-442-7870
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Provider Business Mailing Address
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Address Line | 911 N FOOTE AVE
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-3701
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Country | US
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Telephone | 773-595-5858
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. ANNE ELIZABETH BARNES
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Credential | DMD
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Telephone | 413-442-7213
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | DN1856263
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License Number State | MA
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