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General NPI Number Information
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NPI Number | 1972695807
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Entity Type | Individual
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Provider Name | KATERINA GINBERG OD
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Gender | Female
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 03/25/2015
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Provider Practice Location Address
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Address Line | 12073 FLATLANDS AVE
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City | BROOKLYN
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State | NY
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Zip | 11207-8306
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Country | US
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Telephone | 718-257-7700
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Fax | 718-257-7704
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Provider Business Mailing Address
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Address Line | 419 FAWNS RUN
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City | MORGANVILLE
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State | NJ
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Zip | 07751-4403
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Country | US
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Telephone | 917-945-5636
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TUV006809
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License Number State | NY
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