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General NPI Number Information
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NPI Number | 1972895811
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Entity Type | Individual
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Provider Name | DANIEL JOSEPH BERNHARDT MS, NCC, LPC
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Gender | Male
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Dates
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Enumeration Date | 05/11/2011
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Last Update Date | 05/11/2011
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Provider Practice Location Address
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Address Line | 34975 N NORTH VALLEY PKWY SUITE 152
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City | PHOENIX
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State | AZ
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Zip | 85086-4028
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Country | US
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Telephone | 623-738-1290
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Fax | 623-242-1588
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Provider Business Mailing Address
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Address Line | 2820 W PINTO PL
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City | WICKENBURG
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State | AZ
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Zip | 85390-1073
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Country | US
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Telephone | 928-684-5147
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC13565
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License Number State | AZ
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