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General NPI Number Information
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NPI Number | 1114294394
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Entity Type | Individual
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Provider Name | ALVIN JOEL BERNSTEIN PHARMD
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Gender | Male
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Dates
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Enumeration Date | 11/16/2011
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Last Update Date | 11/16/2011
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Provider Practice Location Address
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Address Line | 540 BLAKE RD N
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City | HOPKINS
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State | MN
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Zip | 55343-8123
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Country | US
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Telephone | 952-938-1168
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Fax |
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Provider Business Mailing Address
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Address Line | 5041 BIRCH RD
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City | MINNETONKA
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State | MN
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Zip | 55345-4302
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Country | US
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Telephone | 952-939-0993
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 115515
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28887
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License Number State | CA
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