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General NPI Number Information
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NPI Number | 1750059135
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Entity Type | Individual
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Provider Name | ARTHUR GREENBERG
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Gender | Male
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Dates
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Enumeration Date | 09/01/2021
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Last Update Date | 09/01/2021
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Provider Practice Location Address
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Address Line | 201 SEAGRASS DR
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City | PANAMA CITY BEACH
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State | FL
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Zip | 32407-2597
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Country | US
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Telephone | 850-249-2004
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Fax |
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Provider Business Mailing Address
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Address Line | 7010 BLACK MOUNTAIN DR
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City | LOUISVILLE
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State | KY
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Zip | 40228-2829
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Country | US
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Telephone | 502-471-1460
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Fax |
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 22114
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License Number State | FL
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