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General NPI Number Information
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NPI Number | 1710587084
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Entity Type | Organization
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Legal Business Name | MEREDITH BERNFELD, PH.D., PSYCHOLOGY, P.L.L.C.
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Dates
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Enumeration Date | 10/27/2020
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Last Update Date | 11/17/2020
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Provider Practice Location Address
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Address Line | 135 OCEAN PKWY
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City | BROOKLYN
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State | NY
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Zip | 11218-2567
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Country | US
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Telephone | 646-970-2330
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Fax | 844-670-5909
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Provider Business Mailing Address
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Address Line | 135 OCEAN PARKWAY SUITE 1P
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City | BROOKLYN
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State | NY
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Zip | 11218
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Country | US
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Telephone | 646-970-2330
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Fax | 844-670-5909
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Authorized Official
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Title or Position | OWNER
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Name | DR. MEREDITH L BERNFELD
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Credential | PHD
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Telephone | 646-970-2330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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