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General NPI Number Information
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NPI Number | 1184695660
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Entity Type | Individual
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Provider Name | RONNELL P. BERNARD MD
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Gender | Male
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Dates
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Enumeration Date | 01/31/2006
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Last Update Date | 09/10/2016
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Provider Practice Location Address
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Address Line | 40 OAKCREST LN
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City | WAYNESVILLE
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State | NC
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Zip | 28786-9166
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Country | US
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Telephone | 828-342-4309
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Fax |
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Provider Business Mailing Address
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Address Line | 40 OAKCREST LN
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City | WAYNESVILLE
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State | NC
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Zip | 28786-9166
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | L013195
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 9500830
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License Number State | NC
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