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General NPI Number Information
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NPI Number | 1154485258
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Entity Type | Individual
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Provider Name | ANDREW DAVID GREENSTEIN DMD
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Gender | Male
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 01/03/2012
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Provider Practice Location Address
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Address Line | 357 S GULPH RD STE 100
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406
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Country | US
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Telephone | 610-337-2325
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Fax | 610-337-3863
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Provider Business Mailing Address
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Address Line | 357 S GULPH RD STE 100
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406
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Country | US
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Telephone | 610-337-2325
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Fax | 610-337-3863
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | DS020563L
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License Number State | PA
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