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General NPI Number Information
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NPI Number | 1467448480
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Entity Type | Individual
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Provider Name | THOMAS KERR MD
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Gender | Male
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Dates
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Enumeration Date | 09/26/2005
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Last Update Date | 01/27/2010
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Provider Practice Location Address
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Address Line | 2809 W WATERS AVE
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City | TAMPA
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State | FL
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Zip | 33614-1852
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Country | US
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Telephone | 813-348-9088
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Fax | 813-348-9310
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Provider Business Mailing Address
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Address Line | 2809 W WATERS AVE
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City | TAMPA
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State | FL
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Zip | 33614-1852
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Country | US
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Telephone | 813-348-9088
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Fax | 813-348-9310
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | ME61567
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number | ME61567
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License Number State | FL
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