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General NPI Number Information
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NPI Number | 1568563948
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Entity Type | Individual
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Provider Name | CARLA HELENE GINSBURG M.D., M.P.H.
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Gender | Female
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 08/29/2018
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Provider Practice Location Address
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Address Line | 21 CHESTNUT ST
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City | WESTON
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State | MA
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Zip | 02493
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Country | US
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Telephone | 781-894-4088
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Fax | 781-894-6593
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Provider Business Mailing Address
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Address Line | 21 CHESTNUT ST
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City | WESTON
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State | MA
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Zip | 02493-1525
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Country | US
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Telephone | 781-894-4088
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Fax | 781-894-6593
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 42891
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | DR.0058548
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License Number State | CO
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