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General NPI Number Information
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NPI Number | 1265500250
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Entity Type | Individual
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Provider Name | DEANNA MARIE KIRCHMAYER MD
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Gender | Female
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 4343 GRIFFINS GATE LN
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City | GREENSBORO
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State | NC
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Zip | 27407-7950
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Country | US
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Telephone | 336-324-0824
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Fax |
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Provider Business Mailing Address
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Address Line | 4343 GRIFFINS GATE LN
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City | GREENSBORO
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State | NC
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Zip | 27407-7950
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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 | 204C00000X
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Taxonomy Name | Sports Medicine (Neuromusculoskeletal Medicine) Physician
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License Number | 34650
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 34650
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License Number State | NC
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