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General NPI Number Information
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NPI Number | 1154069185
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Entity Type | Individual
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Provider Name | KATHLEEN SUSAN KERR BA, NCPRSS
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Gender | Female
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Dates
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Enumeration Date | 05/20/2022
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Last Update Date | 04/28/2023
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Provider Practice Location Address
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Address Line | 110 AMERICAN BLVD STE 5
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City | TURNERSVILLE
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State | NJ
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Zip | 08012-1767
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Country | US
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Telephone | 856-352-5999
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Fax |
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Provider Business Mailing Address
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Address Line | 2343 STANTON AVE
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City | FRANKLINVILLE
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State | NJ
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Zip | 08322-3232
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Country | US
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Telephone |
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | P00659
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License Number State | NJ
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