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General NPI Number Information
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NPI Number | 1992360853
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Entity Type | Individual
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Provider Name | BARRY BERNFELD PSYCHOLOGIST
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Gender | Male
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Dates
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Enumeration Date | 05/07/2019
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Last Update Date | 05/07/2019
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Provider Practice Location Address
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Address Line | 10530 SANTA MONICA BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90025-4951
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Country | US
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Telephone | 310-785-9456
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Fax |
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Provider Business Mailing Address
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Address Line | 8858 CASHIO ST
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City | LOS ANGELES
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State | CA
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Zip | 90035-3306
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Country | US
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Telephone | 310-890-7309
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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