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General NPI Number Information
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NPI Number | 1649880121
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Entity Type | Individual
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Provider Name | BRIAN JAMES BERTSCHI RNFA
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Gender | Male
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Dates
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Enumeration Date | 08/09/2020
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Last Update Date | 08/09/2020
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Provider Practice Location Address
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Address Line | 1 BARNES JEW HOSP PLZ
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City | SAINT LOUIS
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State | MO
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Zip | 63110-1003
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Country | US
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Telephone | 314-747-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 906 AIRPORT RD
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City | MOUNT VERNON
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State | IL
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Zip | 62864-5737
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Country | US
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Telephone | 618-315-4041
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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 | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number | 041379800
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License Number State | IL
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