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General NPI Number Information
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NPI Number | 1760714646
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Entity Type | Individual
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Provider Name | MATTHEW IAN BERNSTEIN PHARMD
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Gender | Male
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Dates
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Enumeration Date | 02/03/2010
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 3619 PROVOST AVE FL 1
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City | BRONX
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State | NY
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Zip | 10466-6145
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Country | US
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Telephone | 347-719-4330
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Fax | 855-326-6768
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Provider Business Mailing Address
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Address Line | 3619 PROVOST AVE FL 1
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City | BRONX
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State | NY
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Zip | 10466-6145
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Country | US
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Telephone | 646-350-0033
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Fax | 855-326-6768
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 27965
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03441480
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28RI03496100
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS46126
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 054287
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License Number State | NY
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