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General NPI Number Information
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NPI Number | 1609345230
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Entity Type | Individual
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Provider Name | ELIZABETH ANN KERN 101YM0800X
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Gender | Female
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Dates
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Enumeration Date | 11/13/2018
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Last Update Date | 05/24/2024
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Provider Practice Location Address
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Address Line | 646 N FRENCH RD STE 7
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City | BUFFALO
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State | NY
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Zip | 14228-2100
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Country | US
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Telephone | 716-616-0014
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Fax |
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Provider Business Mailing Address
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Address Line | 332 LAMARCK DR
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City | AMHERST
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State | NY
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Zip | 14226-4854
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Country | US
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Telephone | 716-208-7159
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 010696
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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