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General NPI Number Information
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NPI Number | 1932233681
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Entity Type | Organization
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Legal Business Name | KIRN FAMILY EYECARE
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 02/03/2010
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Provider Practice Location Address
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Address Line | 2151 LINGLESTOWN RD SUITE 210
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City | HARRISBURG
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State | PA
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Zip | 17110-9499
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Country | US
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Telephone | 717-657-5030
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Fax |
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Provider Business Mailing Address
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Address Line | 2151 LINGLESTOWN RD SUITE 210
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City | HARRISBURG
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State | PA
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Zip | 17110-9499
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Country | US
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Telephone | 717-657-5030
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KATHERINE WHITE KIRN
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Credential | O.D. M.S.
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Telephone | 717-657-5030
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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 | OEG000766 PA
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License Number State | PA
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