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General NPI Number Information
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NPI Number | 1649540741
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Entity Type | Individual
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Provider Name | CAROL HILL BERNSTEIN PT
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Gender | Female
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Dates
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Enumeration Date | 01/05/2012
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Last Update Date | 01/05/2012
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Provider Practice Location Address
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Address Line | 16219 AUTUMN VIEW TERRACE DR
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City | ELLISVILLE
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State | MO
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Zip | 63011-4743
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Country | US
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Telephone | 636-273-5067
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Fax | 636-273-5067
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Provider Business Mailing Address
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Address Line | 1601 W SAINT MARYS RD
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City | TUCSON
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State | AZ
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Zip | 85745-2623
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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 |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 114266
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 7532PT
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License Number State | AZ
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