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General NPI Number Information
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NPI Number | 1912357203
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Entity Type | Individual
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Provider Name | SHARI GINSBURG D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 06/16/2016
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Last Update Date | 10/07/2020
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Provider Practice Location Address
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Address Line | 1175 PARK AVE STE 1B
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City | NEW YORK
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State | NY
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Zip | 10128-1211
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Country | US
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Telephone | 212-988-6724
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Fax |
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Provider Business Mailing Address
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Address Line | 801 S PAULINA ST
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City | CHICAGO
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State | IL
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Zip | 60612-7210
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Country | US
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Telephone | 518-928-9381
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 060868
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License Number State | NY
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