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General NPI Number Information
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NPI Number | 1609860428
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Entity Type | Individual
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Provider Name | JAMES JACK KEHR PH.D.
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Gender | Male
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Dates
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Enumeration Date | 09/08/2005
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Last Update Date | 05/05/2009
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Provider Practice Location Address
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Address Line | HQ USAFE/SG UNIT 3050 BOX 130
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City | APO
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State | AE
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Zip | 09094-0130
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Country | US
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Telephone | 496371477318
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Fax | 496371479882
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Provider Business Mailing Address
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Address Line | PSC 2 BOX 12287
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City | APO
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State | AE
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Zip | 09012-0031
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Country | US
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Telephone | 496371477318
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Fax | 496371479882
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY 13710
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License Number State | CA
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