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General NPI Number Information
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NPI Number | 1205962149
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Entity Type | Individual
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Provider Name | EMILY B BERNSTEIN MD
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Gender | Female
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 08/15/2024
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Provider Practice Location Address
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Address Line | 30 S VALLEY RD STE 211
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City | PAOLI
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State | PA
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Zip | 19301-1476
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Country | US
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Telephone | 267-996-4406
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Fax |
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Provider Business Mailing Address
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Address Line | 30 S VALLEY RD STE 211
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City | PAOLI
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State | PA
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Zip | 19301-1476
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Country | US
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Telephone | 267-996-4406
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 25MA12370300
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 332064
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD422931
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License Number State | PA
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