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General NPI Number Information
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NPI Number | 1689062432
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Entity Type | Individual
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Provider Name | MATTHEW SCOTT BERNSTEIN DPM
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Gender | Male
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Dates
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Enumeration Date | 01/02/2015
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Last Update Date | 06/30/2022
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Provider Practice Location Address
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Address Line | 55 E 124TH ST
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City | NEW YORK
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State | NY
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Zip | 10035-1815
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Country | US
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Telephone | 212-410-8158
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Fax |
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Provider Business Mailing Address
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Address Line | 75 CLINTON ST APT 2D
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City | BROOKLYN
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State | NY
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Zip | 11201-4363
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Country | US
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Telephone | 561-271-9352
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PO3707
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | N007254-01
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License Number State | NY
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