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General NPI Number Information
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NPI Number | 1689812489
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Entity Type | Individual
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Provider Name | ERIC DAVID GREENBERG DO
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Gender | Male
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Dates
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Enumeration Date | 02/02/2009
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Last Update Date | 11/27/2018
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Provider Practice Location Address
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Address Line | 32255 NORTHWESTERN HWY STE 115
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-1538
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Country | US
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Telephone | 248-587-2300
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Fax | 248-945-0492
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Provider Business Mailing Address
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Address Line | 29992 NORTHWESTERN HWY STE C
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-3292
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Country | US
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Telephone | 248-851-1430
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Fax | 248-851-5182
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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 | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 5101017853
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 5101017853
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 5101017853
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License Number State | MI
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