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General NPI Number Information
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NPI Number | 1396286670
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Entity Type | Organization
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Legal Business Name | KERN MEDICAL
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Dates
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Enumeration Date | 03/20/2017
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Last Update Date | 03/20/2017
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Provider Practice Location Address
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Address Line | 12716 SABLE POINT DRIVE
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City | BAKERSFIELD
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State | CA
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Zip | 93312
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Country | US
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Telephone | 661-619-3476
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Fax |
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Provider Business Mailing Address
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Address Line | 12716 SABLE POINT DR
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City | BAKERSFIELD
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State | CA
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Zip | 93312-6861
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Country | US
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Telephone | 661-619-3476
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Fax |
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | MR. GLENN GOLDIS
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Credential | M.D.
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Telephone | 661-326-2123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 950006239
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License Number State | CA
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