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General NPI Number Information
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NPI Number | 1871805416
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Entity Type | Individual
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Provider Name | DANIEL KIRCHHEIMER OD
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Gender | Male
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Dates
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Enumeration Date | 07/12/2010
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Last Update Date | 07/12/2010
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Provider Practice Location Address
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Address Line | 400 PLAZA DR SUITE B
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City | VESTAL
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State | NY
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Zip | 13850-3649
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Country | US
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Telephone | 607-798-1987
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Fax | 607-729-8277
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Provider Business Mailing Address
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Address Line | 400 PLAZA DR SUITE B
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City | VESTAL
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State | NY
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Zip | 13850-3649
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Country | US
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Telephone | 607-798-1987
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Fax | 607-729-8277
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TUV007554
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License Number State | NY
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