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General NPI Number Information
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NPI Number | 1649284332
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Entity Type | Organization
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Legal Business Name | ADVANCED GENERAL SURGICAL ASSOCIATES, P.C.
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 12/28/2012
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Provider Practice Location Address
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Address Line | 1205 LANGHORNE NEWTOWN RD SUITE 307
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City | LANGHORNE
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State | PA
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Zip | 19047-1219
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Country | US
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Telephone | 215-891-1430
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Fax | 215-741-4302
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Provider Business Mailing Address
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Address Line | 1205 LANGHORNE NEWTOWN RD SUITE 307
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City | LANGHORNE
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State | PA
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Zip | 19047-1222
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Country | US
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Telephone | 215-891-1430
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Fax | 215-741-4302
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TROY M KERNER
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Credential | D.O.
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Telephone | 215-891-1430
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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