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General NPI Number Information
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NPI Number | 1982837274
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Entity Type | Organization
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Legal Business Name | VOLUNTEERS IN MEDICINE-BERKSHIRES, INC.
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Dates
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Enumeration Date | 09/02/2009
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Last Update Date | 12/29/2023
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Provider Practice Location Address
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Address Line | 777 MAIN ST SUITE 4
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City | GREAT BARRINGTON
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State | MA
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Zip | 01230-2224
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Country | US
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Telephone | 413-528-4014
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Fax | 844-336-9081
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Provider Business Mailing Address
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Address Line | 777 MAIN ST SUITE 4
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City | GREAT BARRINGTON
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State | MA
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Zip | 01230-2224
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Country | US
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Telephone | 413-528-4014
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Fax | 413-528-3996
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ILANA STEINAHAUER
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Credential | FNP-BC
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Telephone | 413-528-4014
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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