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General NPI Number Information
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NPI Number | 1902820715
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Entity Type | Individual
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Provider Name | AMY KERNER D.O.
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Gender | Female
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 04/25/2023
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Provider Practice Location Address
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Address Line | 4700 SCHAEFER RD STE 310
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City | DEARBORN
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State | MI
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Zip | 48126-3655
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Country | US
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Telephone | 947-523-4680
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Fax | 313-943-2916
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Provider Business Mailing Address
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Address Line | 26901 BEAUMONT BLVD STE 3D
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City | SOUTHFIELD
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State | MI
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Zip | 48033-3849
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Country | US
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Telephone | 947-522-1863
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Fax | 47-522-0307
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 5101015841
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License Number State | MI
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