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General NPI Number Information
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NPI Number | 1285809574
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Entity Type | Organization
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Legal Business Name | DR. DAVID E. KERR P S C
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Dates
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Enumeration Date | 04/28/2008
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Last Update Date | 04/28/2008
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Provider Practice Location Address
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Address Line | 350 CALLE FONT MARTELO
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City | HUMACAO
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State | PR
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Zip | 00791-3266
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Country | US
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Telephone | 787-852-8600
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Fax | 787-852-7930
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Provider Business Mailing Address
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Address Line | 350 CALLE FONT MARTELO
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City | HUMACAO
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State | PR
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Zip | 00791-3266
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Country | US
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Telephone | 787-852-8600
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Fax | 787-852-7930
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID E. KERR
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Credential | DMD
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Telephone | 787-852-8600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 1397
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License Number State | PR
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