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General NPI Number Information
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NPI Number | 1073602470
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Entity Type | Organization
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Legal Business Name | KERN GASTROENTEROLOGY MEDICAL GROUP
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 5959 TRUXTUN AVE STE 200
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City | BAKERSFIELD
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State | CA
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Zip | 93309-0437
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Country | US
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Telephone | 661-324-1203
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Fax | 661-324-3195
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Provider Business Mailing Address
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Address Line | 5959 TRUXTUN AVE STE 200
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City | BAKERSFIELD
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State | CA
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Zip | 93309-0437
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Country | US
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Telephone | 661-324-1203
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Fax | 661-324-3195
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. MARY C OSBURN
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Credential |
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Telephone | 661-324-1203
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | CA
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