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General NPI Number Information
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NPI Number | 1528213576
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Entity Type | Individual
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Provider Name | DAVID MARSHALL KERNS DPT, CSCS
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Gender | Male
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Dates
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Enumeration Date | 11/18/2008
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Last Update Date | 11/18/2008
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Provider Practice Location Address
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Address Line | 711 RUSH AVE
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City | BELLEFONTAINE
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State | OH
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Zip | 43311-2250
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Country | US
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Telephone | 480-276-5224
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Fax |
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Provider Business Mailing Address
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Address Line | 1571 STATE ROUTE 508
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City | WEST LIBERTY
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State | OH
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Zip | 43357-9769
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Country | US
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Telephone | 480-276-5224
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1177203
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License Number State | TX
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