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General NPI Number Information
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NPI Number | 1083811798
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Entity Type | Organization
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Legal Business Name | DEBRA KIRSCH MD PA
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Dates
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Enumeration Date | 06/27/2007
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Last Update Date | 07/11/2007
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Provider Practice Location Address
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Address Line | 7522 WILES RD SUITE 213B
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City | CORAL SPRINGS
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State | FL
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Zip | 33067-2062
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Country | US
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Telephone | 954-510-1299
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Fax | 954-510-1288
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Provider Business Mailing Address
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Address Line | 7522 WILES RD SUITE 213B
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City | CORAL SPRINGS
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State | FL
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Zip | 33067-2062
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Country | US
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Telephone | 954-510-1299
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Fax | 954-510-1288
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Authorized Official
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Title or Position | PRESIDENT
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Name | DEBRA FRANCES KIRSCH
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Credential | M.D.
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Telephone | 954-510-1299
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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 | ME 76524
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License Number State | FL
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