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General NPI Number Information
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NPI Number | 1619631330
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Entity Type | Individual
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Provider Name | KRISTAL BERNARDO
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Gender | Female
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Dates
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Enumeration Date | 10/28/2021
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Last Update Date | 10/28/2021
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Provider Practice Location Address
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Address Line | 836 W 1ST NORTH ST
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City | MORRISTOWN
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State | TN
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Zip | 37814-4548
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Country | US
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Telephone | 423-277-5967
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Fax | 865-381-0521
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Provider Business Mailing Address
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Address Line | 836 W 1ST NORTH ST
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City | MORRISTOWN
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State | TN
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Zip | 37814-4548
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Country | US
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Telephone | 423-277-5967
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Fax | 865-381-0521
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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 | 246YC3302X
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Taxonomy Name | Physician Office Based Coding Specialist
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License Number |
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License Number State |
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