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General NPI Number Information
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NPI Number | 1932206844
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Entity Type | Organization
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Legal Business Name | ROBERT BERNARD INC
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 02/25/2010
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Provider Practice Location Address
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Address Line | 2737 MARION STREET
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City | BELLMORE
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State | NY
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Zip | 11710
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Country | US
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Telephone | 516-557-4019
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Fax | 516-783-0480
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Provider Business Mailing Address
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Address Line | 2737 MARION STREET
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City | BELLMORE
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State | NY
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Zip | 11710
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Country | US
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Telephone | 516-557-4019
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Fax | 516-783-0480
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. ROBERT BERNARD
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Credential | PHD PSYCHOLOGY
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Telephone | 516-557-4019
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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 | 0079221
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License Number State | NY
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