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General NPI Number Information
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NPI Number | 1932233673
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Entity Type | Individual
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Provider Name | KIRK R. ESSENMACHER M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 375 LAGUNA HONDA BLVD LAGUNA HONDA HOSPITAL AND REHAB CENTER, MEDICAL SVCS
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City | SAN FRANCISCO
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State | CA
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Zip | 94116-1411
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Country | US
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Telephone | 415-759-2388
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Fax | 415-759-4587
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Provider Business Mailing Address
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Address Line | PO BOX 20286
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City | STANFORD
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State | CA
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Zip | 94309-0286
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Country | US
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Telephone | 650-223-4161
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A60417
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License Number State | CA
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