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General NPI Number Information
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NPI Number | 1487850988
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Entity Type | Individual
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Provider Name | RICHARD H BERNHARDT MD
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Gender | Male
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Dates
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Enumeration Date | 06/22/2007
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 820 N. SAMUEL MOORE PKWY STE A STE A
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City | MOORESVILLE
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State | IN
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Zip | 46158-1467
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Country | US
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Telephone | 317-483-5000
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Fax | 317-483-5050
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Provider Business Mailing Address
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Address Line | 250 N SHADELAND AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46219-4959
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 01069397A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 01069397A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 01069397A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 01069397A
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License Number State | IN
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