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General NPI Number Information
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NPI Number | 1780730184
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Entity Type | Organization
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Legal Business Name | HAJDUK AND KERNA & ASSOCIATES DMD PC
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 108 WEST FIRST STREET
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City | OIL CITY
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State | PA
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Zip | 16301-2757
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Country | US
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Telephone | 814-676-1836
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Fax | 814-676-3104
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Provider Business Mailing Address
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Address Line | 108 WEST FIRST STREET
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City | OIL CITY
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State | PA
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Zip | 16301-2757
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Country | US
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Telephone | 814-676-1836
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Fax | 814-676-3104
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | DAWN L KERNA
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Credential |
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Telephone | 814-676-1836
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DSO19592
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DSO17818
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License Number State | PA
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