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General NPI Number Information
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NPI Number | 1538577275
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Entity Type | Individual
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Provider Name | STEVEN BERNFELD PHD
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Gender | Male
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Dates
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Enumeration Date | 07/25/2014
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Last Update Date | 12/31/2018
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Provider Practice Location Address
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Address Line | 2550 CRAWFORD AVE
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City | EVANSTON
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State | IL
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Zip | 60201-4900
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Country | US
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Telephone | 847-920-4556
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Fax |
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Provider Business Mailing Address
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Address Line | 9740 KEDVALE AVE
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City | SKOKIE
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State | IL
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Zip | 60076-1122
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Country | US
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Telephone | 847-920-4556
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 071008848
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License Number State | IL
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