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General NPI Number Information
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NPI Number | 1003150913
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Entity Type | Individual
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Provider Name | KENNETH ZERNERI RN
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Gender | Male
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Dates
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Enumeration Date | 11/15/2012
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Last Update Date | 11/26/2019
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Provider Practice Location Address
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Address Line | 50 PLEASANT ST
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City | NORTHAMPTON
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State | MA
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Zip | 01060-4127
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Country | US
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Telephone | 413-585-1300
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Fax | 413-585-1355
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Provider Business Mailing Address
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Address Line | 50 PLEASANT ST
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City | NORTHAMPTON
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State | MA
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Zip | 01060-4127
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Country | US
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Telephone | 413-585-1300
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Fax | 413-585-1355
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN141397
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License Number State | MA
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