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General NPI Number Information
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NPI Number | 1407134653
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Entity Type | Individual
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Provider Name | AMY KUNKLE D.O.
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Gender | Female
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Dates
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Enumeration Date | 07/21/2011
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Last Update Date | 07/21/2011
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Provider Practice Location Address
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Address Line | 1320 EAST NORTH AVENUE SUITE 451 MELLON PAVILLION
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City | PITTSBURGH
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State | PA
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Zip | 15212
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Country | US
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Telephone | 412-359-6726
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Fax | 412-688-7605
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Provider Business Mailing Address
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Address Line | 1320 EAST NORTH AVENUE
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City | PITTSBURGH
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State | PA
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Zip | 15212
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | OS015310
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License Number State | PA
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