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General NPI Number Information
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NPI Number | 1063947372
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Entity Type | Individual
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Provider Name | RACHEL BERNSTEIN M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/24/2017
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Last Update Date | 06/28/2021
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Provider Practice Location Address
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Address Line | 110 COMMERCE DR
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City | SHELTON
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State | CT
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Zip | 06484-6244
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Country | US
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Telephone | 203-929-7331
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Fax | 203-925-0330
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Provider Business Mailing Address
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Address Line | 201 LYONS AVE NEWARK BETH ISRAEL MEDICAL CENTER
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City | NEWARK
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State | NJ
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Zip | 07112-2027
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Country | US
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Telephone |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 68240
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License Number State | CT
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