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General NPI Number Information
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NPI Number | 1548256928
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Entity Type | Individual
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Provider Name | DOUGLAS H. GREENFIELD M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/21/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6410 VETERANS AVE SUITE 203
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City | BROOKLYN
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State | NY
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Zip | 11234-5639
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Country | US
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Telephone | 718-763-0080
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Fax | 718-763-0400
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Provider Business Mailing Address
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Address Line | 6410 VETERANS AVE SUITE 203
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City | BROOKLYN
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State | NY
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Zip | 11234-5639
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Country | US
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Telephone | 718-763-0080
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Fax | 718-763-0400
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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 | 130689
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License Number State | NY
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