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General NPI Number Information
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NPI Number | 1881536480
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Entity Type | Individual
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Provider Name | PATIENCE BEAR
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Gender | Female
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Dates
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Enumeration Date | 04/06/2026
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Last Update Date | 04/06/2026
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Provider Practice Location Address
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Address Line | 945 N CENTRAL AVE
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City | WOODMERE
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State | NY
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Zip | 11598-1604
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Country | US
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Telephone | 516-703-6400
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Fax |
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Provider Business Mailing Address
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Address Line | 14434 CORONA ST
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City | BRISTOL
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State | VA
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Zip | 24202-4230
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Country | US
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Telephone | 276-285-9841
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-25-496635
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License Number State | TN
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