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General NPI Number Information
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NPI Number | 1609874999
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Entity Type | Individual
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Provider Name | JEFFREY H KERNER M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/11/2005
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Last Update Date | 05/12/2015
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Provider Practice Location Address
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Address Line | 911-913 STATE STREET
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City | NEW HAVEN
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State | CT
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Zip | 06511-3926
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Country | US
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Telephone | 203-503-3000
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Fax | 203-782-6243
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Provider Business Mailing Address
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Address Line | 400 COLUMBUS AVE
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City | NEW HAVEN
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State | CT
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Zip | 06519-1233
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Country | US
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Telephone | 203-503-3250
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Fax | 203-503-3520
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 28059
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 127880
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207YX0602X
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Taxonomy Name | Otolaryngic Allergy Physician
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License Number | 047116
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License Number State | CT
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