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General NPI Number Information
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NPI Number | 1790963825
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Entity Type | Organization
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Legal Business Name | MEDICAL ASSOCIATES OF CORAL SPRINGS P A
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Dates
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Enumeration Date | 01/31/2008
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Last Update Date | 06/17/2010
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Provider Practice Location Address
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Address Line | 8190 ROYAL PALM BLVD SUITE 102
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-5706
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Country | US
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Telephone | 954-344-8288
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Fax | 954-344-8041
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Provider Business Mailing Address
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Address Line | 8190 ROYAL PALM BLVD SUITE 102
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-5706
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Country | US
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Telephone | 954-344-8288
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Fax | 954-344-8041
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Authorized Official
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Title or Position | DR.
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Name | MS. STACIE GINSBERG
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Credential | D.O
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Telephone | 954-344-8288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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