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General NPI Number Information
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NPI Number | 1932299203
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Entity Type | Individual
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Provider Name | MRS. ALEXIS ELIZABETH BERNSTEIN
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Gender | Female
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Dates
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Enumeration Date | 10/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 555 NORTHGATE DR FAMILY SERVICE AGENCY OF MARIN
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City | SAN RAFAEL
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State | CA
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Zip | 94903-3680
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Country | US
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Telephone | 415-491-5700
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Fax | 415-491-5750
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Provider Business Mailing Address
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Address Line | 529 LIBERTY ST
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City | EL CERRITO
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State | CA
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Zip | 94530-3618
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Country | US
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Telephone | 510-528-4325
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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