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General NPI Number Information
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NPI Number | 1467779850
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Entity Type | Organization
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Legal Business Name | ELIZABETH KERA PHD LLC
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Dates
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Enumeration Date | 04/26/2010
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Last Update Date | 04/26/2010
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Provider Practice Location Address
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Address Line | 909 BELMONT AVE
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City | NORTH HALEDON
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State | NJ
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Zip | 07508-2574
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Country | US
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Telephone | 201-615-0060
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Fax | 201-941-4745
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Provider Business Mailing Address
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Address Line | 909 BELMONT AVE
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City | NORTH HALEDON
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State | NJ
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Zip | 07508-2574
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Country | US
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Telephone | 201-615-0060
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Fax | 201-941-4745
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Authorized Official
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Title or Position | NEUROPSYCHOLOGIST
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Name | DR. ELIZABETH ANN CURKO KERA
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Credential | PHD
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Telephone | 201-615-0060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 35SI00462700
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License Number State | NJ
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