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General NPI Number Information
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NPI Number | 1316164700
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Entity Type | Organization
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Legal Business Name | DRS. GINSBERG, SIMON, AND SHROFF PARTNERSHIP
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 12/18/2007
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Provider Practice Location Address
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Address Line | 1134 N ROLLING RD
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City | CATONSVILLE
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State | MD
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Zip | 21228-3826
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Country | US
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Telephone | 410-788-4555
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Fax |
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Provider Business Mailing Address
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Address Line | 15 DIAMOND CREST CT
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City | BALTIMORE
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State | MD
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Zip | 21209-1500
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Country | US
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Telephone | 410-653-3080
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DR. EDWARD LEE GINSBERG
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Credential | DDS
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Telephone | 410-788-4555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 7886
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License Number State | MD
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