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General NPI Number Information
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NPI Number | 1205996998
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Entity Type | Individual
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Provider Name | NICOLE P KERNER M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 08/26/2013
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Provider Practice Location Address
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Address Line | 9212 DUNCANSHIRE CT
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City | RALEIGH
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State | NC
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Zip | 27613-5483
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Country | US
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Telephone | 919-206-4880
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Fax | 919-536-9624
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Provider Business Mailing Address
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Address Line | 9212 DUNCANSHIRE CT
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City | RALEIGH
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State | NC
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Zip | 27613-5483
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Country | US
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Telephone | 919-206-4880
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Fax | 919-536-9624
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 2008-00835
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License Number State | NC
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