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General NPI Number Information
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NPI Number | 1528147022
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Entity Type | Individual
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Provider Name | KEITH B BERNING D.C.
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Gender | Male
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 04/22/2019
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Provider Practice Location Address
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Address Line | 3920 US HIGHWAY 93 N STE D
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City | STEVENSVILLE
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State | MT
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Zip | 59870-6478
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Country | US
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Telephone | 406-777-7172
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Fax | 406-777-7266
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Provider Business Mailing Address
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Address Line | 3920 US HIGHWAY 93 N STE D
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City | STEVENSVILLE
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State | MT
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Zip | 59870-6478
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Country | US
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Telephone | 406-777-7172
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Fax | 406-777-7266
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHI-CHI-LIC-3472
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License Number State | MT
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