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General NPI Number Information
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NPI Number | 1295390268
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Entity Type | Organization
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Legal Business Name | GREENBERG FOOT AND ANKLE
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Dates
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Enumeration Date | 05/06/2019
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Last Update Date | 12/11/2020
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Provider Practice Location Address
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Address Line | 1989 MIAMISBURG CENTERVILLE RD STE 200
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City | DAYTON
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State | OH
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Zip | 45459-3858
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Country | US
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Telephone | 937-938-6444
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Fax | 937-641-8310
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Provider Business Mailing Address
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Address Line | 1989 MIAMISBURG CENTERVILLE RD STE 200
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City | DAYTON
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State | OH
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Zip | 45459-3858
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Country | US
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Telephone | 937-938-6444
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Fax | 937-834-8636
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Authorized Official
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Title or Position | OWNER
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Name | MARC S GREENBERG
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Credential | DPM
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Telephone | 937-938-6444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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