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General NPI Number Information
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NPI Number | 1740479955
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Entity Type | Organization
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Legal Business Name | LAWRENCE L. KERNS, M.D. & ASSOCIATES
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Dates
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Enumeration Date | 10/24/2007
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Last Update Date | 02/05/2009
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Provider Practice Location Address
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Address Line | 124 HARRISON ST
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City | BARRINGTON
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State | IL
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Zip | 60010-3007
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Country | US
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Telephone | 847-381-7618
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Fax | 847-381-9198
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Provider Business Mailing Address
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Address Line | 124 HARRISON ST
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City | BARRINGTON
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State | IL
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Zip | 60010-3007
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Country | US
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Telephone | 847-381-7618
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Fax | 847-381-9198
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Authorized Official
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Title or Position | OFF. MGR.
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Name | MS. DOROTHY FEES
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Credential |
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Telephone | 847-381-7618
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 036062569
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License Number State | IL
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