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General NPI Number Information
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NPI Number | 1689915373
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Entity Type | Organization
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Legal Business Name | ARLENE KIRSCHNER, M.D., APC
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Dates
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Enumeration Date | 03/06/2013
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Last Update Date | 03/06/2013
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Provider Practice Location Address
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Address Line | 3419 AIRPORT WAY STE B
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City | FAIRBANKS
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State | AK
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Zip | 99709-4761
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Country | US
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Telephone | 907-474-4745
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Fax | 907-374-8915
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Provider Business Mailing Address
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Address Line | PO BOX 72283
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City | FAIRBANKS
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State | AK
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Zip | 99707-2283
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Country | US
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Telephone | 907-474-4745
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Fax | 888-840-9676
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Authorized Official
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Title or Position | PRESIDENT
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Name | ARLENE G KIRSCHNER
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Credential | M.D.
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Telephone | 907-474-4745
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | AA2464
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License Number State | AK
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