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General NPI Number Information
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NPI Number | 1881679546
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Entity Type | Individual
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Provider Name | HANS ALLEN BERNDES MD
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Gender | Male
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Dates
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Enumeration Date | 12/14/2005
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Last Update Date | 03/17/2022
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Provider Practice Location Address
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Address Line | 7955 SPYGLASS HILL RD STE B
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City | MELBOURNE
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State | FL
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Zip | 32940-8249
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Country | US
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Telephone | 321-255-6670
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Fax | 321-242-2545
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Provider Business Mailing Address
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Address Line | 7955 SPYGLASS HILL RD STE A
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City | MELBOURNE
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State | FL
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Zip | 32940-8249
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Country | US
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Telephone | 321-255-6670
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Fax | 321-775-1364
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME138288
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 8561
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License Number State | NV
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