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General NPI Number Information
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NPI Number | 1649240771
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Entity Type | Individual
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Provider Name | BRUCE HAL KIRSCHENBERG DC
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Gender | Male
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Dates
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Enumeration Date | 01/23/2006
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Last Update Date | 07/21/2010
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Provider Practice Location Address
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Address Line | 36 NE 2ND AVE
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City | DEERFIELD BEACH
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State | FL
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Zip | 33441-3504
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Country | US
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Telephone | 954-428-7500
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Fax | 954-428-7502
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Provider Business Mailing Address
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Address Line | 36 NE 2ND AVE
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City | DEERFIELD BEACH
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State | FL
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Zip | 33441-3504
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Country | US
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Telephone | 954-428-7500
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Fax | 954-428-7502
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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 | CH4463
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License Number State | FL
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