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General NPI Number Information
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NPI Number | 1487844742
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Entity Type | Organization
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Legal Business Name | HAROLD L GREENBERG MD PA
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Dates
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Enumeration Date | 08/01/2007
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Last Update Date | 08/01/2007
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Provider Practice Location Address
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Address Line | 875 CONCOURSE PKWY SOUTH
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City | MAITLAND
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State | FL
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Zip | 32751-6147
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Country | US
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Telephone | 407-682-4600
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Fax | 407-682-4647
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Provider Business Mailing Address
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Address Line | PO BOX 161477
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32716-1477
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Country | US
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Telephone | 407-682-4600
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Fax | 407-682-4647
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HAROLD LOUIS GREENBERG
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Credential | MD
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Telephone | 407-682-4600
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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 | G 00018312
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 0101235166
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 0012290
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License Number State | FL
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