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NPI Code Detail

MEDICARE: MS. TALIA DONENBERG M.S., CGC

MEDICARE: MS. TALIA DONENBERG M.S., CGC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1170300000XGenetic Counselor (M.S.)

General Provider Information

NPI Number : 1578898185
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TALIA DONENBERG M.S., CGC
Provider Business Mailing Address
First Line : 2655 COLLINS AVE
Second Line : APT 903
City : MIAMI BEACH
State : FL
Zip : 33140
Country : US
Telephone Number : 305-610-1567
Fax Number :
Provider Business Practice Location Address
First Line : 1601 NW 12TH AVE
Second Line : SUITE 5046
City : MIAMI
State : FL
Zip : 33136-1005
Country : US
Telephone Number : 305-243-3627
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2009
Last Update Date : 12/21/2011

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