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General NPI Number Information
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NPI Number | 1447744735
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Entity Type | Individual
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Provider Name | GEORGE JOSEPH BERNT FNP-C, PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 06/19/2018
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Last Update Date | 03/27/2026
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Provider Practice Location Address
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Address Line | 207 N GILBERT RD BSMT 5
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City | GILBERT
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State | AZ
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Zip | 85234-5801
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Country | US
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Telephone | 480-847-1980
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Fax | 480-906-1580
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Provider Business Mailing Address
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Address Line | 2607 N JAY ST
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City | CHANDLER
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State | AZ
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Zip | 85225-2169
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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 |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN186001
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP11308
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | AP11308
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License Number State | AZ
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