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General NPI Number Information
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NPI Number | 1295874279
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Entity Type | Individual
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Provider Name | JODY SCOTT GREENFIELD DO
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Gender | Male
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 10/15/2023
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Provider Practice Location Address
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Address Line | 1880 N CONGRESS AVE STE 320
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-8678
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Country | US
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Telephone | 561-413-2869
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Fax |
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Provider Business Mailing Address
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Address Line | 1880 N CONGRESS AVE STE 320
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-8678
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Country | US
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Telephone | 561-413-2869
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 174885
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | OS10555
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License Number State | FL
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