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General NPI Number Information
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NPI Number | 1598790438
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Entity Type | Individual
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Provider Name | HARRY A. BERNSTEIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 12/10/2021
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Provider Practice Location Address
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Address Line | 2521 TECHNOLOGY DR SUITE 202
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City | ELGIN
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State | IL
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Zip | 60124
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Country | US
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Telephone | 847-836-1122
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Fax | 847-836-1121
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Provider Business Mailing Address
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Address Line | 2521 TECHNOLOGY DR SUITE 202
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City | ELGIN
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State | IL
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Zip | 60124
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Country | US
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Telephone | 847-836-1122
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Fax | 847-836-1121
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD2020-0822
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 036072606
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License Number State | IL
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