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General NPI Number Information
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NPI Number | 1215762851
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Entity Type | Individual
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Provider Name | DAVID JOSEPH BERNARD EMT
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Gender | Male
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Dates
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Enumeration Date | 09/04/2024
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 403 RUE DE LA MOSAIQUE
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City | BROUSSARD
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State | LA
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Zip | 70518-5346
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Country | US
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Telephone | 985-414-1950
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Fax |
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Provider Business Mailing Address
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Address Line | 403 RUE DE LA MOSAIQUE
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City | BROUSSARD
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State | LA
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Zip | 70518-5346
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Country | US
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Telephone | 985-414-1950
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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 | 146N00000X
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Taxonomy Name | Basic Emergency Medical Technician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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