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General NPI Number Information
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NPI Number | 1699975474
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Entity Type | Individual
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Provider Name | ANDREW DOUGLAS KERSTEN MD
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Gender | Male
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Dates
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Enumeration Date | 07/20/2007
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Last Update Date | 08/01/2022
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Provider Practice Location Address
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Address Line | 800 FLEMING ST
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City | HENDERSONVILLE
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State | NC
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Zip | 28791-3528
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Country | US
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Telephone | 828-294-7793
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Fax | 828-330-2030
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Provider Business Mailing Address
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Address Line | 915 TATE BLVD SE STE 190
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City | HICKORY
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State | NC
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Zip | 28602-4042
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Country | US
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Telephone | 828-294-7793
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Fax | 828-330-2060
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 201300970
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 201300970
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License Number State | NC
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