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General NPI Number Information
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NPI Number | 1528156981
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Entity Type | Individual
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Provider Name | FREDERIC LEE GINSBERG MD
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Gender | Male
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 04/25/2016
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Provider Practice Location Address
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Address Line | 1210 BRACE RD SUITE 103
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City | CHERRY HILL
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State | NJ
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Zip | 08034-3213
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Country | US
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Telephone | 856-938-2052
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Fax | 856-429-1561
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Provider Business Mailing Address
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Address Line | 1 COOPER PLZ 3 DORRANCE
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City | CAMDEN
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State | NJ
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Zip | 08103-1461
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Country | US
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Telephone | 856-342-2604
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Fax | 856-968-8282
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MA40363
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License Number State | NJ
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