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General NPI Number Information
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NPI Number | 1649676180
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Entity Type | Organization
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Legal Business Name | PSE OF NAPLES PLLC
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Dates
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Enumeration Date | 11/11/2014
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Last Update Date | 04/29/2015
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Provider Practice Location Address
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Address Line | 77 8TH ST S SUITE B
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City | NAPLES
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State | FL
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Zip | 34102-6111
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Country | US
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Telephone | 813-503-8793
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Fax |
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Provider Business Mailing Address
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Address Line | 77 8TH ST S SUITE B
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City | NAPLES
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State | FL
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Zip | 34102-6111
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Country | US
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Telephone | 813-503-8793
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BARRETT GINSBERG
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Credential | MD
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Telephone | 813-503-8793
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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 | ME87934
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License Number State | FL
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