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General NPI Number Information
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NPI Number | 1417145186
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Entity Type | Organization
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Legal Business Name | BERNIER FAMILY PRACTICE
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Dates
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Enumeration Date | 10/09/2007
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Last Update Date | 10/09/2007
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Provider Practice Location Address
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Address Line | 221 E 23RD ST STE C
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City | PANAMA CITY
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State | FL
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Zip | 32405-4557
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Country | US
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Telephone | 850-215-2344
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Fax | 850-215-2348
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Provider Business Mailing Address
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Address Line | 221 E 23RD ST STE C
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City | PANAMA CITY
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State | FL
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Zip | 32405-4557
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Country | US
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Telephone | 850-215-2344
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Fax | 850-215-2348
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Authorized Official
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Title or Position | OWNER
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Name | DR. ARACELIA BERNIER
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Credential | MD
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Telephone | 850-215-2344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | ME0075917
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License Number State | FL
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