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General NPI Number Information
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NPI Number | 1548307028
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Entity Type | Individual
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Provider Name | LAURA HOPE GREENBERG MD
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Gender | Female
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9155 SW BARNES RD SUITE 320
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City | PORTLAND
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State | OR
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Zip | 97225-6625
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Country | US
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Telephone | 503-292-4453
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Fax | 503-292-2321
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Provider Business Mailing Address
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Address Line | 9155 SW BARNES RD SUITE 320
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City | PORTLAND
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State | OR
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Zip | 97225-6625
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Country | US
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Telephone | 503-292-4453
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Fax | 503-292-2321
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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 | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | OSL15292
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License Number State | OR
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