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General NPI Number Information
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NPI Number | 1568629327
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Entity Type | Organization
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Legal Business Name | LEE KIRCHNER MD PA
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Dates
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Enumeration Date | 05/20/2008
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Last Update Date | 07/02/2008
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Provider Practice Location Address
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Address Line | 3619 PAESANOS PARKWAY SUITE 212
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City | SAN ANTONIO
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State | TX
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Zip | 78231-1255
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Country | US
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Telephone | 210-614-9830
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Fax | 210-614-9831
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Provider Business Mailing Address
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Address Line | 3619 PAESANOS PARKWAY SUITE 212
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City | SAN ANTONIO
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State | TX
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Zip | 78231-1255
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Country | US
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Telephone | 210-614-9830
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Fax | 210-614-9831
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Authorized Official
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Title or Position | CEO
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Name | DR. LEE KIRCHNER
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Credential | MD
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Telephone | 210-614-9830
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0214X
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Taxonomy Name | Pediatric Pulmonology Physician
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License Number | J9135
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License Number State | TX
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