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General NPI Number Information
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NPI Number | 1285705129
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Entity Type | Organization
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Legal Business Name | BERNACKI FAMILY PRACTICE AND WELLNESS CENTER, RPLLC
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 01/28/2010
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Provider Practice Location Address
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Address Line | 521 GREENFIELD AVE
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City | PITTSBURGH
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State | PA
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Zip | 15207-1091
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Country | US
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Telephone | 412-422-6500
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Fax | 412-422-4357
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Provider Business Mailing Address
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Address Line | 521 GREENFIELD AVE
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City | PITTSBURGH
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State | PA
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Zip | 15207-1091
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Country | US
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Telephone | 412-422-6500
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Fax | 412-422-4357
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. TERRI LEDONNE
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Credential |
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Telephone | 412-422-6500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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