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NPI 1326280181

NPI 1326280181 : KENNETH S GINSBURG PHARMD : LAKE WORTH, FL

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General NPI Number Information
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    NPI Number           |    1326280181
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    Entity Type          |    Individual 
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    Provider Name        |    KENNETH S GINSBURG PHARMD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/25/2009
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    Last Update Date     |    05/13/2015
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Provider Practice Location Address
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    Address Line         |    5935 BAY HILL CIR 
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    City                 |    LAKE WORTH
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    State                |    FL
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    Zip                  |    33463-6570
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    Country              |    US
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    Telephone            |    561-685-4509
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5935 BAY HILL CIR 
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    City                 |    LAKE WORTH
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    State                |    FL
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    Zip                  |    33463-6570
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    Country              |    US
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    Telephone            |    561-685-4509
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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        |    1835P0018X
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    Taxonomy Name        |    Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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    License Number       |    PS25202
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    License Number State |    FL
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