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General NPI Number Information
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NPI Number | 1922272228
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Entity Type | Individual
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Provider Name | MIKHAIL KIRNUS MD
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Gender | Male
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Dates
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Enumeration Date | 04/17/2008
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | ATLRU CLINIC 1300 SOUTH COLUMBIA ROAD
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City | GRAND FORKS
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State | ND
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Zip | 58201
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Country | US
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Telephone | 701-780-5000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 13780
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City | GRAND FORKS
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State | ND
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Zip | 58208
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Country | US
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Telephone | 440-387-7883
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 35-129325
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 131469
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License Number State | MT
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Taxonomy #3
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 35129325
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 11837
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License Number State | ND
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Taxonomy #5
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 11837
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License Number State | ND
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