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General NPI Number Information
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NPI Number | 1326181389
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Entity Type | Individual
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Provider Name | DR. BRUCE KERN
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Gender | Male
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1600 PERRINEVILLE RD
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City | MONROE TOWNSHIP
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State | NJ
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Zip | 08831-4923
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Country | US
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Telephone | 609-409-9700
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Fax | 609-409-9797
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Provider Business Mailing Address
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Address Line | 253 STONEHILL RD
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City | FREEHOLD
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State | NJ
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Zip | 07728-8517
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Country | US
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Telephone | 732-462-1917
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Fax | 718-377-3062
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 42509
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License Number State | NY
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