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General NPI Number Information
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NPI Number | 1568711216
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Entity Type | Organization
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Legal Business Name | DR. BERNHARDT & ASSOCIATES, INC.
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Dates
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Enumeration Date | 09/07/2012
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Last Update Date | 09/07/2012
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Provider Practice Location Address
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Address Line | 750 TERRADO PLZ STE 105
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City | COVINA
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State | CA
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Zip | 91723-3411
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Country | US
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Telephone | 626-332-9500
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Fax | 818-279-0516
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Provider Business Mailing Address
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Address Line | 6248 REID ST
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City | TUJUNGA
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State | CA
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Zip | 91042-2945
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Country | US
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Telephone | 818-957-7951
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Fax | 818-279-0516
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | DR. WILLIAM R BERNHARDT
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Credential | BCBA
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Telephone | 818-720-3744
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | CERTIF # 1-003-1089
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License Number State |
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