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NPI 1265562664

NPI 1265562664 : KIRK HOCHSTETLER MD : COXSACKIE, NY

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General NPI Number Information
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    NPI Number           |    1265562664
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    Entity Type          |    Individual 
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    Provider Name        |    KIRK HOCHSTETLER MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/06/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    200 ROUTE 9W 
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    City                 |    COXSACKIE
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    State                |    NY
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    Zip                  |    12051
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    Country              |    US
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    Telephone            |    518-731-2781
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    710 COUNTY ROUTE 10 
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    City                 |    GERMANTOWN
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    State                |    NY
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    Zip                  |    12526-5019
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    Country              |    US
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    Telephone            |    518-731-2781
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    Fax                  |    518-828-0961
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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        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    166217
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    License Number State |    NY
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