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General NPI Number Information
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NPI Number | 1407512494
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Entity Type | Individual
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Provider Name | DEBRE KERN
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Gender | Female
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Dates
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Enumeration Date | 11/13/2021
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 969 ELLICOTT ST
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City | BUFFALO
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State | NY
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Zip | 14209-2324
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Country | US
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Telephone | 508-979-5557
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Fax |
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Provider Business Mailing Address
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Address Line | 495 N ATLANTA AVE
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City | N MASSAPEQUA
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State | NY
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Zip | 11758-2013
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Country | US
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Telephone | 516-582-5980
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Fax |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 091222
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License Number State | NY
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