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General NPI Number Information
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NPI Number | 1528084951
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Entity Type | Organization
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Legal Business Name | MARK D BERNSTEIN MD INC
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Dates
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Enumeration Date | 07/15/2006
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Last Update Date | 06/06/2008
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Provider Practice Location Address
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Address Line | 3529 SACRAMENTO ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94118-1867
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Country | US
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Telephone | 415-474-7567
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Fax |
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Provider Business Mailing Address
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Address Line | 3529 SACRAMENTO ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94118-1867
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Country | US
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Telephone | 415-474-7567
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARK D BERNSTEIN
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Credential | M.D.
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Telephone | 415-474-7567
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G32601
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License Number State | CA
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