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General NPI Number Information
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NPI Number | 1093807802
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Entity Type | Organization
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Legal Business Name | BERNIER FAMILY PRACTICE AND ASSOCIATES
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 05/20/2014
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Provider Practice Location Address
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Address Line | 1606 TENNESSEE AVE.
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City | LYNN HAVEN
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State | FL
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Zip | 32444
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Country | US
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Telephone | 850-248-7925
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Fax | 850-248-7928
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Provider Business Mailing Address
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Address Line | P.O. BOX 2052
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City | LYNN HAVEN
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State | FL
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Zip | 32444
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Country | US
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Telephone | 850-248-7925
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Fax | 850-248-7928
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. ARACELIA BERNIER
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Credential | M.D.
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Telephone | 850-248-7925
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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 | ME75917
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License Number State | FL
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