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General NPI Number Information
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NPI Number | 1205259637
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Entity Type | Organization
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Legal Business Name | BERNARD MEDICAL OF LANGHORNE, PLLC
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Dates
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Enumeration Date | 01/21/2014
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Last Update Date | 01/21/2014
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Provider Practice Location Address
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Address Line | 1415 E LINCOLN HWY
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City | LANGHORNE
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State | PA
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Zip | 19047
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Country | US
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Telephone | 716-551-0684
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Fax |
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Provider Business Mailing Address
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Address Line | 701 SENECA ST SUITE 210
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City | BUFFALO
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State | NY
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Zip | 14210-1351
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Country | US
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Telephone | 716-551-0684
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | JOHN BERNARD
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Credential | MD
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Telephone | 716-551-0684
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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