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General NPI Number Information
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NPI Number | 1588805568
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Entity Type | Organization
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Legal Business Name | MARC E. GINSBERG PA
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Dates
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Enumeration Date | 03/20/2009
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Last Update Date | 03/20/2009
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Provider Practice Location Address
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Address Line | 22198 CLOCKTOWER WAY
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City | BOCA RATON
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State | FL
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Zip | 33428-4640
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Country | US
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Telephone | 561-883-8863
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Fax | 561-218-0485
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Provider Business Mailing Address
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Address Line | 22198 CLOCKTOWER WAY
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City | BOCA RATON
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State | FL
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Zip | 33428-4640
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Country | US
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Telephone | 561-883-8863
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Fax | 561-218-0485
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MARC EVAN GINSBERG
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Credential | MSLP
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Telephone | 561-701-1191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA 3884
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License Number State | FL
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