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General NPI Number Information
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NPI Number | 1528299484
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Entity Type | Individual
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Provider Name | KAREN DENISE KERN RPH
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Gender | Female
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Dates
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Enumeration Date | 07/27/2009
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Last Update Date | 07/27/2009
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Provider Practice Location Address
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Address Line | 2005 KNIGHT LANE BLDG. H
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City | JACKSONVILLE
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State | FL
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Zip | 32212-0140
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Country | US
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Telephone | 202-762-3194
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Fax |
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Provider Business Mailing Address
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Address Line | 1011 EDEN WAY N
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City | CHESAPEAKE
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State | VA
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Zip | 23320-2768
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Country | US
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Telephone | 757-953-6375
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Fax | 757-953-6317
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202011194
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License Number State | VA
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