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General NPI Number Information
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NPI Number | 1982178174
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Entity Type | Individual
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Provider Name | JEREMY KERN
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Gender | Male
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Dates
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Enumeration Date | 01/22/2019
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Last Update Date | 05/28/2021
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Provider Practice Location Address
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Address Line | STATMEDEVAC HANGER 10 ALLEGHENY AIRPORT
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City | WEST MIFFLIN
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State | PA
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Zip | 15022-1502
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Country | US
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Telephone | 412-559-8860
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Fax |
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Provider Business Mailing Address
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Address Line | 334 KENNEL RD UPMC PRESBYTERIAN HOSPITAL
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City | WAYNESBURG
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State | PA
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Zip | 15370-4603
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | SP019501
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License Number State | PA
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