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General NPI Number Information
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NPI Number | 1770591208
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Entity Type | Individual
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Provider Name | MEREDITH BERNSTEIN PH.D.
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Gender | Female
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 139 MAIN ST ROOM 612
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City | BRATTLEBORO
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State | VT
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Zip | 05301-3040
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Country | US
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Telephone | 802-257-2778
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Fax |
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Provider Business Mailing Address
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Address Line | 139 MAIN ST ROOM 612
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City | BRATTLEBORO
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State | VT
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Zip | 05301-3040
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Country | US
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Telephone | 802-257-2778
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Fax |
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 776
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License Number State | VT
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