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General NPI Number Information
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NPI Number | 1619200078
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Entity Type | Individual
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Provider Name | DEBORAH ANN KERN MSPT
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Gender | Female
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Dates
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Enumeration Date | 09/16/2009
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Last Update Date | 09/16/2009
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Provider Practice Location Address
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Address Line | 470 MANOR AVE
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City | DOWNINGTOWN
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State | PA
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Zip | 19335-2545
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Country | US
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Telephone | 484-698-6134
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Fax |
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Provider Business Mailing Address
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Address Line | 308 WILLOW WAY
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City | CHESTER SPRINGS
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State | PA
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Zip | 19425-3634
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Country | US
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Telephone | 484-368-1856
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT015320
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License Number State | PA
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