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General NPI Number Information
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NPI Number | 1760402283
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Entity Type | Individual
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Provider Name | DOUGLAS J BERNE M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 06/02/2017
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Provider Practice Location Address
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Address Line | 704 HAY RD
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City | TEMPLE
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State | PA
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Zip | 19560-1843
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Country | US
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Telephone | 610-799-7810
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Fax | 610-929-4686
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Provider Business Mailing Address
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Address Line | 4085 INDEPENDENCE DR
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City | SCHNECKSVILLE
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State | PA
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Zip | 18078-2574
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Country | US
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Telephone | 610-977-8853
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Fax | 610-799-8001
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD045342L
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License Number State | PA
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