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General NPI Number Information
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NPI Number | 1386704146
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Entity Type | Organization
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Legal Business Name | VENTURA PULMONARY AND CRITICAL CARE MEDICAL GROUP
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 07/28/2010
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Provider Practice Location Address
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Address Line | 168 N BRENT ST STE 406
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City | VENTURA
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State | CA
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Zip | 93003-2824
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Country | US
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Telephone | 805-653-6371
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Fax |
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Provider Business Mailing Address
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Address Line | 168 N BRENT ST STE 406
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City | VENTURA
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State | CA
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Zip | 93003-2824
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ROBERT BERNSTEIN
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Credential |
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Telephone | 805-653-6371
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State | CA
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