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General NPI Number Information
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NPI Number | 1780751255
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Entity Type | Organization
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Legal Business Name | GREENBRIAR OBGYN PC
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 09/22/2016
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Provider Practice Location Address
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Address Line | 1245 HIGHLAND AVE SUITE 306
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City | ABINGTON
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State | PA
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Zip | 19001-4401
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Country | US
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Telephone | 215-481-9495
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Fax | 215-884-8875
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Provider Business Mailing Address
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Address Line | 1245 HIGHLAND AVE SUITE 306
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City | ABINGTON
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State | PA
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Zip | 19001-4401
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Country | US
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Telephone | 215-481-9495
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Fax | 215-884-8875
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Authorized Official
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Title or Position | OWNER
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Name | DR. RON HOFFMANN
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Credential | M.D.
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Telephone | 215-481-9495
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD041780L
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License Number State | PA
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