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NPI 1518392513

NPI 1518392513 : BERNADETTE FLYNN DO : EVERETT, PA

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General NPI Number Information
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    NPI Number           |    1518392513
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    Entity Type          |    Individual 
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    Provider Name        |    BERNADETTE FLYNN DO
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/09/2013
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    Last Update Date     |    03/04/2026
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Provider Practice Location Address
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    Address Line         |    41 W 1ST ST 
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    City                 |    EVERETT
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    State                |    PA
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    Zip                  |    15537-1103
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    Country              |    US
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    Telephone            |    814-209-8333
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    Fax                  |    814-209-4367
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Provider Business Mailing Address
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    Address Line         |    41 W 1ST ST 
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    City                 |    EVERETT
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    State                |    PA
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    Zip                  |    15537-1103
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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       |    0102207215
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    License Number State |    VA
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Taxonomy #2
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    OS018497
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    License Number State |    PA
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