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General NPI Number Information
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NPI Number | 1982693990
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Entity Type | Individual
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Provider Name | MICHAEL BERNARD KERNER M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/21/2005
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 25 MORRIS AVE
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City | SPRINGFIELD
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State | NJ
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Zip | 07081-1404
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Country | US
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Telephone | 973-467-1313
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Fax | 973-467-3133
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Provider Business Mailing Address
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Address Line | 432 OCEAN BLVD UNIT 402
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City | LONG BRANCH
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State | NJ
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Zip | 07740-5687
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Country | US
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Telephone | 973-477-1866
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 25MA02630300
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License Number State | NJ
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