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General NPI Number Information
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NPI Number | 1821048141
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Entity Type | Individual
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Provider Name | DAVID G. KIRSCHEN OD, PHD
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Gender | Male
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 12/19/2022
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Provider Practice Location Address
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Address Line | 428 S BREA BLVD
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City | BREA
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State | CA
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Zip | 92821-5301
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Country | US
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Telephone | 714-529-2470
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Fax |
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Provider Business Mailing Address
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Address Line | 428 S BREA BLVD
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City | BREA
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State | CA
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Zip | 92821-5301
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Country | US
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Telephone | 714-529-2470
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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 | 152WP0200X
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Taxonomy Name | Pediatric Optometrist
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License Number | OP5418T
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License Number State | CA
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