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General NPI Number Information
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NPI Number | 1629034616
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Entity Type | Organization
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Legal Business Name | MARVIN E GREENBERG MD PA
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Dates
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Enumeration Date | 04/26/2006
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Last Update Date | 02/07/2008
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Provider Practice Location Address
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Address Line | 7421 N UNIVERSITY DRIVE SUITE 109
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City | TAMARAC
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State | FL
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Zip | 33321-2952
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Country | US
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Telephone | 954-726-2080
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Fax | 954-726-2105
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Provider Business Mailing Address
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Address Line | 7421 N UNIVERSITY DRIVE SUITE 109
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City | TAMARAC
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State | FL
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Zip | 33321-2952
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Country | US
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Telephone | 954-726-2080
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Fax | 954-726-2105
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARVIN E GREENBERG
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Credential | MD
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Telephone | 954-726-2080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | ME36221
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License Number State | FL
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