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General NPI Number Information
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NPI Number | 1255503363
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Entity Type | Individual
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Provider Name | SCOTT M. GREENBERG DO
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Gender | Male
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Dates
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Enumeration Date | 03/28/2008
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Last Update Date | 09/03/2020
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Provider Practice Location Address
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Address Line | 24231 WALDEN CENTER DR STE 201
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City | ESTERO
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State | FL
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Zip | 34134
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Country | US
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Telephone | 239-348-4221
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Fax | 239-390-2486
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Provider Business Mailing Address
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Address Line | PO BOX 11390
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City | BELFAST
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State | ME
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Zip | 04915-4004
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Country | US
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Telephone | 866-949-1433
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Fax |
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | OS9310
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License Number State | FL
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