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General NPI Number Information
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NPI Number | 1881833887
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Entity Type | Individual
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Provider Name | MR. JEFF CARL KERTH
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Gender | Male
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Dates
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Enumeration Date | 02/13/2009
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Last Update Date | 02/13/2009
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Provider Practice Location Address
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Address Line | 307 N ELM ST
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City | HARRISON
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State | OH
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Zip | 45030-1210
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Country | US
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Telephone | 513-236-6500
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Fax | 513-202-1371
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Provider Business Mailing Address
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Address Line | 307 N ELM ST
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City | HARRISON
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State | OH
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Zip | 45030-1210
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Country | US
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Telephone | 513-236-6500
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Fax | 513-202-1371
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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 | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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License Number |
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License Number State |
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