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General NPI Number Information
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NPI Number | 1346545977
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Entity Type | Individual
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Provider Name | KAREN ELIZABETH FUHRMAN KERNER O.D.
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Gender | Female
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Dates
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Enumeration Date | 01/12/2011
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Last Update Date | 01/12/2011
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Provider Practice Location Address
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Address Line | 811 CHESTNUT RIDGE RD
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City | CHESTNUT RIDGE
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State | NY
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Zip | 10977-6330
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Country | US
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Telephone | 201-560-1244
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Fax | 201-560-1291
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Provider Business Mailing Address
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Address Line | 320 CANTERBURY LN
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City | WYCKOFF
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State | NJ
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Zip | 07481-2304
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Country | US
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Telephone | 201-560-1244
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Fax | 201-560-1291
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 27OA00572300
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License Number State | NJ
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