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General NPI Number Information
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NPI Number | 1245842517
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Entity Type | Individual
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Provider Name | JOSEPH T KERSH PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 08/18/2020
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 1331 MEDICAL CENTER DR
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City | ROHNERT PARK
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State | CA
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Zip | 94928-2900
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Country | US
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Telephone | 208-661-2246
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Fax |
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Provider Business Mailing Address
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Address Line | 708 W 15TH AVE
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City | POST FALLS
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State | ID
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Zip | 83854-7218
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Country | US
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Telephone | 208-661-2246
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 6969
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 304914
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License Number State | CA
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