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General NPI Number Information
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NPI Number | 1184666596
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Entity Type | Organization
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Legal Business Name | STACIE GINSBERG DO PA
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 01/28/2008
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Provider Practice Location Address
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Address Line | 5441 N UNIVERSITY DR SUITE 101
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City | CORAL SPRINGS
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State | FL
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Zip | 33067-4640
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Country | US
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Telephone | 954-692-1044
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Fax | 954-753-3857
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Provider Business Mailing Address
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Address Line | 5441 N UNIVERSITY DR SUITE 101
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City | CORAL SPRINGS
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State | FL
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Zip | 33067-4640
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Country | US
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Telephone | 954-692-1044
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Fax | 954-753-3857
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Authorized Official
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Title or Position | PRESIDENT
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Name | STACIE GINSBERG
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Credential | D.O.
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Telephone | 954-692-1044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS7626
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License Number State | FL
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