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General NPI Number Information
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NPI Number | 1801454574
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Entity Type | Organization
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Legal Business Name | JULIE BERNSTEIN, LLC
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Dates
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Enumeration Date | 05/29/2019
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 2 DUNDEE PARK DR STE 202B
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City | ANDOVER
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State | MA
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Zip | 01810-3768
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Country | US
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Telephone | 617-803-2851
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Fax | 978-409-9006
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Provider Business Mailing Address
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Address Line | 2 DUNDEE PARK DR BLDG 2
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City | ANDOVER
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State | MA
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Zip | 01810-3735
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Country | US
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Telephone | 617-852-4268
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Fax | 978-409-9006
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER
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Name | MS. JULIE BERNSTEIN
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Credential | LICSW
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Telephone | 617-803-2851
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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