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General NPI Number Information
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NPI Number | 1881807063
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Entity Type | Individual
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Provider Name | ROBERT A BERNSTEIN PH.D.
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Gender | Male
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 01/22/2008
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Provider Practice Location Address
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Address Line | 2000 P ST. N.W. SUITE 407
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City | WASHINGTON
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State | DC
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Zip | 20036
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Country | US
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Telephone | 202-785-0996
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Fax |
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Provider Business Mailing Address
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Address Line | 2804 MCKINLEY PL. N.W.
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City | WASHINGTON
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State | DC
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Zip | 20015
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Country | US
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Telephone | 202-244-0172
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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 | PSY1158
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number | PSY1158
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License Number State | DC
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