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General NPI Number Information
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NPI Number | 1699781443
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Entity Type | Individual
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Provider Name | INGEBORG E KIRCH MD
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Gender | Female
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 5161 CARDINAL PARK DR
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City | SAGINAW
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State | MI
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Zip | 48604-9435
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Country | US
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Telephone | 989-797-2400
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Fax | 989-249-1035
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Provider Business Mailing Address
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Address Line | PO BOX 5649
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City | SAGINAW
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State | MI
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Zip | 48603-0649
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Country | US
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Telephone | 989-797-2400
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Fax | 989-249-1035
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 37088
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 4301113672
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License Number State | MI
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