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General NPI Number Information
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NPI Number | 1376858415
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Entity Type | Individual
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Provider Name | JESSICA BERNSTEIN DO
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Gender | Female
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Dates
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Enumeration Date | 08/13/2010
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Last Update Date | 08/27/2024
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Provider Practice Location Address
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Address Line | 6274 LINTON BLVD STE 100
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City | DELRAY BEACH
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State | FL
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Zip | 33484-6508
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Country | US
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Telephone | 561-973-3376
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Fax | 561-769-2584
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Provider Business Mailing Address
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Address Line | 6274 LINTON BLVD STE 100
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City | DELRAY BEACH
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State | FL
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Zip | 33484-6508
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Country | US
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Telephone | 561-973-3376
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | OS11436
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License Number State | FL
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