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General NPI Number Information
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NPI Number | 1962416651
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Entity Type | Individual
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Provider Name | KENNETH M. CERTA M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 500 N WEST ST
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City | DOYLESTOWN
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State | PA
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Zip | 18901-2366
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Country | US
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Telephone | 215-955-6655
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Fax | 215-923-8219
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Provider Business Mailing Address
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Address Line | 500 N WEST ST
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City | DOYLESTOWN
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State | PA
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Zip | 18901-2366
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Country | US
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Telephone |
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Fax |
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD024309E
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License Number State | PA
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