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General NPI Number Information
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NPI Number | 1366766800
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Entity Type | Individual
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Provider Name | CYNTHIA P BERNAL M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/25/2010
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Last Update Date | 05/07/2019
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Provider Practice Location Address
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Address Line | 1135 E STATE ROAD 434
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City | WINTER SPRINGS
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State | FL
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Zip | 32708-2746
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Country | US
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Telephone | 407-635-3220
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Fax | 407-636-7841
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Provider Business Mailing Address
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Address Line | 1135 E STATE ROAD 434 STE 1001
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City | WINTER SPRINGS
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State | FL
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Zip | 32708-2744
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Country | US
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Telephone | 407-635-3220
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Fax | 407-636-7841
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME138357
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License Number State | FL
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