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General NPI Number Information
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NPI Number | 1821101262
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Entity Type | Individual
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Provider Name | DANIEL J GREENBERG MD
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Gender | Male
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5475 S 500 E
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City | OGDEN
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State | UT
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Zip | 84405-6905
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Country | US
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Telephone | 800-880-3566
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Fax | 801-733-5872
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Provider Business Mailing Address
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Address Line | 5475 S 500 E ORMC
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City | OGDEN
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State | UT
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Zip | 84405-6905
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Country | US
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Telephone | 801-479-2350
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Fax | 801-479-2558
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 186918-1205
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License Number State | UT
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