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General NPI Number Information
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NPI Number | 1477090983
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Entity Type | Individual
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Provider Name | YANET BERNARDO
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Gender | Female
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Dates
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Enumeration Date | 01/22/2017
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Last Update Date | 01/22/2017
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Provider Practice Location Address
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Address Line | 311 NE 8TH ST
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City | HOMESTEAD
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State | FL
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Zip | 33030-4738
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Country | US
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Telephone | 305-248-8600
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Fax | 184-427-2815
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Provider Business Mailing Address
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Address Line | 16170 SW 297TH TER
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City | HOMESTEAD
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State | FL
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Zip | 33033-3355
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Country | US
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Telephone | 786-325-1429
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA27211
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License Number State | FL
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