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General NPI Number Information
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NPI Number | 1053472381
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Entity Type | Organization
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Legal Business Name | DEBORAH L. KERLIN, M.D., INC.
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 02/11/2013
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Provider Practice Location Address
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Address Line | 112 LA CASA VIA SUITE 340
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City | WALNUT CREEK
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State | CA
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Zip | 94598-3091
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Country | US
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Telephone | 925-945-7600
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Fax | 925-945-7664
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Provider Business Mailing Address
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Address Line | 112 LA CASA VIA SUITE 340
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City | WALNUT CREEK
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State | CA
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Zip | 94598-3091
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Country | US
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Telephone | 925-945-7600
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Fax | 925-945-7664
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Authorized Official
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Title or Position | PHYSICIAN, PRESIDENT & TREASURER
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Name | DEBORAH LYNN KERLIN
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Credential | M.D., F.A.C.S.
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Telephone | 925-945-7600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | G54324
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License Number State | CA
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