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General NPI Number Information
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NPI Number | 1093782906
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Entity Type | Individual
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Provider Name | AMY JOSEPHINE KIRSHTEIN MD
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Gender | Female
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Dates
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Enumeration Date | 03/01/2006
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Last Update Date | 01/23/2008
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Provider Practice Location Address
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Address Line | 316 CALHOUN ST
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City | CHARLESTON
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State | SC
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Zip | 29401-1113
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Country | US
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Telephone | 843-724-2260
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Fax | 843-727-3631
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Provider Business Mailing Address
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Address Line | PO BOX 30309
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City | CHARLESTON
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State | SC
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Zip | 29417-0309
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Country | US
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Telephone | 843-554-9300
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Fax | 843-566-8780
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 18525
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License Number State | SC
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