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General NPI Number Information
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NPI Number | 1033034939
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Entity Type | Individual
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Provider Name | ANNA THERESE BERNASCONI PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 08/11/2026
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Last Update Date | 08/11/2026
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Provider Practice Location Address
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Address Line | 613 S KNIK GOOSE BAY RD STE E
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City | WASILLA
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State | AK
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Zip | 99654-8090
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Country | US
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Telephone | 907-317-5895
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Fax |
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Provider Business Mailing Address
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Address Line | 14 SILVER CREEK DR
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City | SELKIRK
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State | NY
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Zip | 12158-1265
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Country | US
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Telephone | 518-275-9221
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 257785
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License Number State | AK
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