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General NPI Number Information
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NPI Number | 1598883605
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Entity Type | Organization
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Legal Business Name | KERR CONSULTING, INC
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1351 AUGUST RD
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City | NORTH BABYLON
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State | NY
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Zip | 11703-1908
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Country | US
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Telephone | 631-766-6612
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Fax | 631-243-5937
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Provider Business Mailing Address
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Address Line | 1351 AUGUST RD
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City | NORTH BABYLON
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State | NY
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Zip | 11703-1908
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Country | US
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Telephone | 631-766-6612
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Fax | 631-243-5937
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Authorized Official
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Title or Position | CO-OWNER
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Name | MR. GARY T. KERR
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Credential | LCSW
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Telephone | 631-766-6612
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | RO369-22-1
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License Number State | NY
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