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General NPI Number Information
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NPI Number | 1619061363
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Entity Type | Individual
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Provider Name | KERRY KAMER DO
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Gender | Male
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5855 STAPLETON DRIVE NORTH #A-130
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City | DENVER
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State | CO
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Zip | 80216
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Country | US
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Telephone | 303-371-7444
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Fax | 303-371-7364
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Provider Business Mailing Address
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Address Line | P.O. BOX 206
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City | TIMNATH
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State | CO
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Zip | 80547-0206
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Country | US
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Telephone | 970-308-1307
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Fax | 303-371-7364
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 34558
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License Number State | CO
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