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NPI 1225074503

NPI 1225074503 : EARL W BERNSTINE DO : YORK, PA

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General NPI Number Information
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    NPI Number           |    1225074503
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    Entity Type          |    Individual 
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    Provider Name        |    EARL W BERNSTINE DO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/22/2006
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    Last Update Date     |    06/10/2016
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Provider Practice Location Address
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    Address Line         |    3550 CONCORD RD 
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    City                 |    YORK
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    State                |    PA
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    Zip                  |    17402-8626
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    Country              |    US
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    Telephone            |    717-851-6340
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    Fax                  |    717-851-6349
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Provider Business Mailing Address
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    Address Line         |    3421 CONCORD RD 
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    City                 |    YORK
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    State                |    PA
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    Zip                  |    17402-9001
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    Country              |    US
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    Telephone            |    717-851-6340
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    Fax                  |    717-851-6349
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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       |    0S007655L
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    2084P0804X
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    Taxonomy Name        |    Child & Adolescent Psychiatry Physician
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    License Number       |    0S007655L
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    License Number State |    PA
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