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General NPI Number Information
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NPI Number | 1609113638
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Entity Type | Individual
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Provider Name | DAVID JAY KIRSTEIN D.C.
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Gender | Male
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Dates
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Enumeration Date | 01/10/2013
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Last Update Date | 01/10/2013
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Provider Practice Location Address
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Address Line | 20 S WHITE HORSE PIKE
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City | SOMERDALE
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State | NJ
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Zip | 08083-1700
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Country | US
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Telephone | 856-504-3555
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Fax |
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Provider Business Mailing Address
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Address Line | 19 SIMSBURY DR
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City | VOORHEES
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State | NJ
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Zip | 08043-3948
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Country | US
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Telephone | 856-912-4811
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 38MCOO700300
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License Number State | NJ
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