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General NPI Number Information
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NPI Number | 1316343205
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Entity Type | Individual
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Provider Name | LYNIKKA BERNARD-ROBERTS M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/05/2014
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Last Update Date | 01/19/2016
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Provider Practice Location Address
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Address Line | 900 W MAIN ST SUITE 3
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City | FREEHOLD
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State | NJ
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Zip | 07728-2523
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Country | US
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Telephone | 732-308-2255
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Fax |
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Provider Business Mailing Address
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Address Line | 900 W MAIN ST SUITE 3
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City | FREEHOLD
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State | NJ
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Zip | 07728-2523
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Country | US
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Telephone | 732-308-2255
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 25MA09820300
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License Number State | NJ
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