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General NPI Number Information
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NPI Number | 1427245125
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Entity Type | Organization
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Legal Business Name | PAUL S GREENBERG MD A MEDICAL CORPORATION
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Dates
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Enumeration Date | 09/27/2007
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Last Update Date | 07/15/2010
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Provider Practice Location Address
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Address Line | 6531 E MANTOVA ST
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City | LONG BEACH
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State | CA
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Zip | 90815-4661
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Country | US
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Telephone | 562-596-9401
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Fax | 562-596-0626
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Provider Business Mailing Address
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Address Line | 6531 E MANTOVA ST
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City | LONG BEACH
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State | CA
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Zip | 90815-4661
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Country | US
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Telephone | 562-596-9401
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Fax | 562-596-0626
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Authorized Official
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Title or Position | PRESIDENT
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Name | PAUL STANLEY GREENBERG
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Credential | MD
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Telephone | 562-596-9401
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | C35916
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License Number State | CA
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