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General NPI Number Information
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NPI Number | 1952092173
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Entity Type | Individual
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Provider Name | MS. TEAREA BERNARD
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Gender | Female
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Dates
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Enumeration Date | 05/18/2023
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Last Update Date | 09/21/2023
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Provider Practice Location Address
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Address Line | 1901 MANHATTAN BLVD BLDG D3622
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City | HARVEY
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State | LA
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Zip | 70058-3582
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Country | US
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Telephone | 504-261-3981
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Fax |
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Provider Business Mailing Address
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Address Line | 220 MEGAN LN
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City | SLIDELL
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State | LA
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Zip | 70458-6002
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Country | US
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Telephone | 504-261-3981
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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 | 246RP1900X
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Taxonomy Name | Phlebotomy Technician
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License Number |
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License Number State |
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