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General NPI Number Information
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NPI Number | 1164698171
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Entity Type | Organization
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Legal Business Name | PAUL M. GREENBERG, DPM
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Dates
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Enumeration Date | 04/30/2008
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Last Update Date | 06/16/2009
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Provider Practice Location Address
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Address Line | 101 W 79TH ST
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City | NEW YORK
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State | NY
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Zip | 10024-6474
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Country | US
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Telephone | 212-874-3578
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Fax | 212-496-6601
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Provider Business Mailing Address
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Address Line | 101 W 79TH ST
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City | NEW YORK
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State | NY
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Zip | 10024-6474
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Country | US
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Telephone | 212-874-3578
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Fax | 212-496-6601
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PAUL M GREENBERG
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Credential | D.P.M.
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Telephone | 212-874-3578
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | N004559
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License Number State | NY
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