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General NPI Number Information
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NPI Number | 1013106178
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Entity Type | Individual
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Provider Name | RICHARD A BERNSTEIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/15/2007
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Last Update Date | 12/20/2023
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Provider Practice Location Address
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Address Line | 133 DEFENSE HWY SUITE 109
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City | ANNAPOLIS
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State | MD
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Zip | 21401-7098
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Country | US
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Telephone | 401-224-5558
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Fax | 410-224-7321
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Provider Business Mailing Address
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Address Line | 133 DEFENSE HWY SUITE 109
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City | ANNAPOLIS
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State | MD
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Zip | 21401-7098
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Country | US
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Telephone | 401-224-5558
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Fax | 410-224-7321
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | D0033069
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207RA0201X
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Taxonomy Name | Allergy & Immunology (Internal Medicine) Physician
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License Number | D0033069
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | D0033069
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License Number State | MD
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