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General NPI Number Information
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NPI Number | 1396911533
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Entity Type | Individual
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Provider Name | EDWARD KIRSCH D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/07/2008
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Last Update Date | 02/04/2013
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Provider Practice Location Address
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Address Line | 7600 CENTRAL AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19111-2442
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Country | US
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Telephone | 215-728-2000
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Fax | 215-214-4119
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Provider Business Mailing Address
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Address Line | PO BOX 820933
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City | PHILADELPHIA
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State | PA
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Zip | 19182-0933
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Country | US
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Telephone | 215-926-9010
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Fax | 215-226-8285
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | OS 013985
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | OS 013985
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License Number State | PA
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