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General NPI Number Information
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NPI Number | 1043908429
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Entity Type | Organization
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Legal Business Name | KRISTEN BERNOCKIE NP IN FAMILY HEALTH PLLC
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Dates
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Enumeration Date | 04/25/2023
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 71 PALATINE PARK RD STE 4
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City | GERMANTOWN
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State | NY
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Zip | 12526-5341
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Country | US
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Telephone | 518-537-4325
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Fax | 518-246-4946
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Provider Business Mailing Address
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Address Line | 71 PALATINE PARK RD STE 4
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City | GERMANTOWN
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State | NY
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Zip | 12526-5341
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Country | US
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Telephone | 518-537-4325
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Fax | 518-246-4946
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Authorized Official
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Title or Position | OWNER
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Name | KRISTEN BERNOCKIE
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Credential | NP
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Telephone | 518-653-9699
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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