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General NPI Number Information
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NPI Number | 1063405900
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Entity Type | Individual
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Provider Name | HYMAN L KIRSCHENBAUM M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/25/2005
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Last Update Date | 08/13/2018
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Provider Practice Location Address
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Address Line | 425 W 59TH ST 8TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10019-1104
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Country | US
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Telephone | 212-492-5500
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Fax | 212-492-5505
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Provider Business Mailing Address
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Address Line | 1780 BROADWAY 7TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10019-1414
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Country | US
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Telephone | 212-315-0144
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Fax | 212-315-0196
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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 | 25MA04025600
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 149677
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License Number State | NY
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