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General NPI Number Information
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NPI Number | 1699763144
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Entity Type | Organization
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Legal Business Name | GREENSTEIN NEUROLOGY ASSOCIATES, P.C.
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Dates
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Enumeration Date | 10/10/2005
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Last Update Date | 02/28/2012
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Provider Practice Location Address
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Address Line | 1341 N DELAWARE AVE SUITE 212
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City | PHILADELPHIA
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State | PA
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Zip | 19125-4300
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Country | US
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Telephone | 267-597-3830
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Fax | 267-597-3831
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Provider Business Mailing Address
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Address Line | 1341 N DELAWARE AVE SUITE 212
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City | PHILADELPHIA
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State | PA
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Zip | 19125-4300
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Country | US
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Telephone | 267-597-3830
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Fax | 267-597-3831
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | DR. JEFFREY I. GREENSTEIN
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Credential | MD
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Telephone | 267-597-3830
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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 | MD-029200-E
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License Number State | PA
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