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General NPI Number Information
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NPI Number | 1710921531
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Entity Type | Organization
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Legal Business Name | GARY E. BERNER, DDS, PLLC
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 10/01/2009
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Provider Practice Location Address
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Address Line | 950 E WHIDBEY AVE
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City | OAK HARBOR
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State | WA
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Zip | 98277-2674
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Country | US
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Telephone | 360-679-3441
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Fax | 360-240-0537
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Provider Business Mailing Address
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Address Line | 950 E. WHIDBEY AVE
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City | OAK HARBOR
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State | WA
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Zip | 98277-2674
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Country | US
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Telephone | 360-679-3441
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Fax | 360-240-0537
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. GARY E BERNER
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Credential | DDS
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Telephone | 360-679-3441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 5817
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License Number State | WA
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