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General NPI Number Information
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NPI Number | 1396775888
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Entity Type | Individual
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Provider Name | JENNIFER JANE BERMUDEZ MD
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Gender | Female
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 206 2ND ST E
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City | BRADENTON
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State | FL
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Zip | 34208-1042
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Country | US
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Telephone | 941-746-5111
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Fax | 941-745-7233
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Provider Business Mailing Address
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Address Line | 367 S. GULPH RD ATT: IPM CREDENTIALING
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-3121
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Country | US
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Telephone | 775-356-9393
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Fax | 775-356-5590
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME87766
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | NC200401025
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 69291
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License Number State | CT
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