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General NPI Number Information
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NPI Number | 1811278021
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Entity Type | Individual
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Provider Name | JEANNE MARIE KERNS CMS-CHT
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Gender | Female
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Dates
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Enumeration Date | 08/31/2011
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Last Update Date | 08/31/2011
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Provider Practice Location Address
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Address Line | 62-2240 KANEHOA ST
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City | KAMUELA
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State | HI
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Zip | 96743-8707
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Country | US
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Telephone | 808-854-7555
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Fax | 808-885-6371
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Provider Business Mailing Address
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Address Line | PO BOX 2667
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City | KAMUELA
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State | HI
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Zip | 96743-2667
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Country | US
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Telephone | 808-854-7555
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Fax | 808-885-6371
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | F0410-035
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License Number State | NM
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