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General NPI Number Information
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NPI Number | 1538246228
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Entity Type | Organization
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Legal Business Name | JUDITH GREENBERG
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 725 S. ADAMS RD SUITE 188
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City | BIRMINGHAM
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State | MI
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Zip | 48000
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Country | US
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Telephone | 248-594-9500
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Fax | 248-594-9599
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Provider Business Mailing Address
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Address Line | P.O. BOX 1568
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City | BIRMINGHAM
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State | MI
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Zip | 48012-1568
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Country | US
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Telephone | 248-594-9500
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Fax | 248-594-9599
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Authorized Official
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Title or Position | PRESIDENT
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Name | JUDITH GREENBERG
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Credential |
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Telephone | 248-594-9500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number | 16010000067
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License Number State | MI
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