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General NPI Number Information
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NPI Number | 1053418665
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Entity Type | Individual
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Provider Name | CRAIG STEVEN GREENE DDS
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Gender | Male
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Dates
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Enumeration Date | 09/19/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8441 W BOWLES AVE SUITE 220
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City | LITTLETON
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State | CO
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Zip | 80123
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Country | US
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Telephone | 303-979-2544
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Fax | 720-981-8284
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Provider Business Mailing Address
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Address Line | 408 ANDREA CIR
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City | PARKER
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State | CO
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Zip | 80138
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Country | US
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Telephone | 303-979-2544
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | HD105318
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License Number State | CO
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