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General NPI Number Information
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NPI Number | 1588037352
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Entity Type | Organization
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Legal Business Name | BERNIE CLICK
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Dates
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Enumeration Date | 11/03/2015
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Last Update Date | 11/03/2015
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Provider Practice Location Address
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Address Line | 26211 VIRTUOSO
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City | IRVINE
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State | CA
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Zip | 92620-2124
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Country | US
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Telephone | 949-706-9615
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Fax | 949-552-5961
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Provider Business Mailing Address
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Address Line | 26211 VIRTUOSO
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City | IRVINE
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State | CA
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Zip | 92620-2124
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADVISOR
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Name | BERNIE CLICK
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Credential |
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Telephone | 949-706-9615
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number | 0C42888
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License Number State | CA
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