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General NPI Number Information
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NPI Number | 1902827959
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Entity Type | Organization
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Legal Business Name | S AND D BERNARDI INC
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 08/04/2008
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Provider Practice Location Address
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Address Line | 577 MAIN ST
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City | WALTHAM
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State | MA
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Zip | 02452-5527
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Country | US
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Telephone | 781-893-3870
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Fax | 781-899-1172
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Provider Business Mailing Address
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Address Line | 577 MAIN ST
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City | WALTHAM
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State | MA
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Zip | 02452-5527
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP PHARMACY
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Name | STEPHEN BERNARD
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Credential | RPH
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Telephone | 781-893-3870
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 1549
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License Number State | MA
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