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General NPI Number Information
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NPI Number | 1417021346
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Entity Type | Individual
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Provider Name | DR. SANDA BERNSTEIN
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Gender | Female
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 10/28/2022
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Provider Practice Location Address
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Address Line | 7014 SPRINGVILLE CV
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-3989
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Country | US
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Telephone | 516-355-8736
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Fax |
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Provider Business Mailing Address
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Address Line | 7014 SPRINGVILLE CV
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-3989
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Country | US
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Telephone | 516-355-8736
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 7535
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 7535
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License Number State | NY
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