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General NPI Number Information
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NPI Number | 1740433069
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Entity Type | Individual
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Provider Name | KRISTINE A BERNARDO MD
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Gender | Female
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Dates
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Enumeration Date | 10/30/2008
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Last Update Date | 09/08/2021
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Provider Practice Location Address
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Address Line | 16620 SAN PEDRO AVE STE 300
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City | SAN ANTONIO
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State | TX
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Zip | 78232-2679
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Country | US
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Telephone | 210-871-4701
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Fax | 210-688-4596
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Provider Business Mailing Address
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Address Line | 3618 MENDOCINO PARK
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City | SAN ANTONIO
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State | TX
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Zip | 78261-2444
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Country | US
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Telephone | 602-454-2144
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Fax | 602-431-2149
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 40353
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 40353
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | S3633
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License Number State | TX
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