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General NPI Number Information
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NPI Number | 1497958532
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Entity Type | Individual
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Provider Name | KATJA GREENBERG DR.MED.DENT.,DDS, MS
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Gender | Female
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Dates
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Enumeration Date | 06/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2001 UNION ST SUITE 482
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City | SAN FRANCISCO
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State | CA
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Zip | 94123-4114
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Country | US
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Telephone | 141-544-0810
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Fax | 141-544-0016
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Provider Business Mailing Address
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Address Line | 446 MISSISSIPPI ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94107-2928
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Country | US
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Telephone | 141-531-0277
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 48134
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License Number State | CA
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