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General NPI Number Information
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NPI Number | 1538158738
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Entity Type | Individual
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Provider Name | ELLEN E BERNARD DO
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Gender | Female
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Dates
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Enumeration Date | 10/19/2005
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 96 CALEF HWY
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City | EPPING
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State | NH
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Zip | 03042-2224
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Country | US
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Telephone | 603-693-2100
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Fax | 603-679-1046
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Provider Business Mailing Address
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Address Line | 4 ALUMNI DR
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City | EXETER
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State | NH
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Zip | 03833-2118
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Country | US
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Telephone | 603-693-2100
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Fax | 603-679-1046
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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 | 13236
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License Number State | NH
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