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General NPI Number Information
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NPI Number | 1467480228
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Entity Type | Individual
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Provider Name | JONNA BERNSTEIN M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 02/26/2016
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Provider Practice Location Address
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Address Line | 3310 MAGNOLIA ST
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City | ORANGEBURG
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State | SC
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Zip | 29115
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Country | US
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Telephone | 803-531-6900
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Fax | 803-531-6907
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Provider Business Mailing Address
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Address Line | 5945 HABERSHAM DR
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City | KERNERSVILLE
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State | NC
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Zip | 27284-6337
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Country | US
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Telephone | 919-619-8836
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 23361
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License Number State | NC
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