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General NPI Number Information
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NPI Number | 1962737692
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Entity Type | Individual
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Provider Name | JONATHAN GINNS MBBS MD
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Gender | Male
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Dates
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Enumeration Date | 10/14/2009
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Last Update Date | 01/12/2022
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Provider Practice Location Address
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Address Line | 900 W 38TH ST STE 400
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City | AUSTIN
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State | TX
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Zip | 78705-1141
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Country | US
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Telephone | 512-206-3600
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Fax | 512-206-3604
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Provider Business Mailing Address
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Address Line | 520 E 70TH ST FL 4
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City | NEW YORK
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State | NY
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Zip | 10021-9800
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Country | US
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Telephone | 646-962-5558
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Fax | 646-962-0050
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 273098
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RA0002X
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Taxonomy Name | Adult Congenital Heart Disease Physician
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License Number | S5169
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License Number State | TX
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