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General NPI Number Information
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NPI Number | 1356500060
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Entity Type | Organization
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Legal Business Name | C.P. STINY, M.D. AND W. A. KERN, M.D. INC.
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Dates
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Enumeration Date | 06/06/2008
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Last Update Date | 06/06/2008
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Provider Practice Location Address
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Address Line | 422 N SAN JACINTO ST
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City | HEMET
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State | CA
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Zip | 92543-3124
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Country | US
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Telephone | 951-658-2105
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Fax | 951-658-2017
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Provider Business Mailing Address
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Address Line | 422 N SAN JACINTO ST
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City | HEMET
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State | CA
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Zip | 92543-3124
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Country | US
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Telephone | 951-658-2105
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Fax | 951-658-2017
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. WILLIAM ALFRED KERN
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Credential | M.D
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Telephone | 951-658-2105
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | A19143
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License Number State | CA
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