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General NPI Number Information
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NPI Number | 1689284655
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Entity Type | Organization
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Legal Business Name | BARRY C. GINSBURG, M.D., P.C.
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Dates
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Enumeration Date | 08/05/2020
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Last Update Date | 01/27/2021
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Provider Practice Location Address
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Address Line | 972 MONTCLAIR RD STE 100
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City | BIRMINGHAM
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State | AL
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Zip | 35213-1203
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Country | US
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Telephone | 205-592-4880
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Fax |
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Provider Business Mailing Address
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Address Line | 972 MONTCLAIR RD STE 100
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City | BIRMINGHAM
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State | AL
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Zip | 35213-1203
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Country | US
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Telephone | 205-592-4880
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | BARRY C GINSBURG
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Credential | M.D.
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Telephone | 205-592-4880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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