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General NPI Number Information
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NPI Number | 1386738490
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Entity Type | Individual
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Provider Name | GEORGE W. KERN IV M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 02/11/2008
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Provider Practice Location Address
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Address Line | 520 MAPLE AVE SUITE 6
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City | WEST CHESTER
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State | PA
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Zip | 19380-4434
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Country | US
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Telephone | 610-436-5491
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Fax | 610-436-6530
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Provider Business Mailing Address
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Address Line | 520 MAPLE AVE SUITE 6
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City | WEST CHESTER
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State | PA
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Zip | 19380-4434
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Country | US
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Telephone | 610-436-5491
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Fax | 610-436-6530
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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 | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | MD012769E
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License Number State | PA
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