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General NPI Number Information
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NPI Number | 1023053196
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Entity Type | Organization
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Legal Business Name | DR LAWRENCE T GINSBERG
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Dates
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Enumeration Date | 06/20/2006
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Last Update Date | 12/11/2007
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Provider Practice Location Address
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Address Line | 2224 PAWTUCKET AVE
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City | EAST PROVIDENCE
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State | RI
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Zip | 02914-1716
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Country | US
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Telephone | 401-431-2929
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Fax |
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Provider Business Mailing Address
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Address Line | 2224 PAWTUCKET AVE
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City | EAST PROVIDENCE
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State | RI
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Zip | 02914-1716
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Country | US
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Telephone | 401-431-2929
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Fax |
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Authorized Official
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Title or Position | DR.
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Name | DR. LAWRENCE T GINSBERG
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Credential | O.D.
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Telephone | 401-431-2929
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | OD 00499
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License Number State | RI
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