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General NPI Number Information
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NPI Number | 1063865418
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Entity Type | Organization
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Legal Business Name | PHILIPPE NOEL MD AND ANNA BERENSTEIN MD PA
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Dates
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Enumeration Date | 07/21/2016
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Last Update Date | 07/21/2016
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Provider Practice Location Address
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Address Line | 5400 S BISCAYNE DR B
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City | NORTH PORT
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State | FL
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Zip | 34287-1932
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Country | US
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Telephone | 516-448-6600
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Fax |
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Provider Business Mailing Address
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Address Line | 4154 FAIRWAY PL
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City | NORTH PORT
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State | FL
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Zip | 34287-6118
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Country | US
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Telephone | 516-448-6600
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Fax | 941-827-2932
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANNA BERENSTEIN
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Credential | MD
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Telephone | 516-448-6600
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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 |
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License Number State | FL
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