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General NPI Number Information
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NPI Number | 1467560177
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Entity Type | Organization
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Legal Business Name | BERNSTEIN & ROBINSON DERMATOLOGY P.A.
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 08/13/2010
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Provider Practice Location Address
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Address Line | 1115 S MAIN ST
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City | BEL AIR
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State | MD
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Zip | 21014-5460
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Country | US
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Telephone | 410-879-7404
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Fax | 410-879-0283
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Provider Business Mailing Address
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Address Line | 1115 S MAIN ST
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City | BEL AIR
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State | MD
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Zip | 21014-5460
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Country | US
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Telephone | 410-879-7404
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Fax | 410-879-0283
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | HOWARD NEIL ROBINSON
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Credential | M.D.
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Telephone | 410-879-7404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | D0026939
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License Number State | MD
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