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General NPI Number Information
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NPI Number | 1568456408
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Entity Type | Individual
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Provider Name | CHRISTOPHER B. KIRBY MD
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Gender | Male
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Dates
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Enumeration Date | 09/07/2005
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Last Update Date | 03/22/2019
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Provider Practice Location Address
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Address Line | 2011 N WHEELER ST
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City | PLANT CITY
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State | FL
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Zip | 33563-1860
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Country | US
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Telephone | 813-756-5666
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Fax |
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Provider Business Mailing Address
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Address Line | 2224 PANTUCKET DR
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City | WESLEY CHAPEL
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State | FL
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Zip | 33543-5149
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Country | US
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Telephone | 603-247-7300
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME135984
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License Number State | FL
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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 | 8450
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number | ME135984
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | TRN22146
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License Number State | FL
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