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General NPI Number Information
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NPI Number | 1083957336
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Entity Type | Individual
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Provider Name | MARTHA ANN GREER LISW-S
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Gender | Female
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Dates
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Enumeration Date | 04/04/2013
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Last Update Date | 04/04/2013
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Provider Practice Location Address
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Address Line | 11 GRAHAM DR
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City | ATHENS
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State | OH
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Zip | 45701-1430
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Country | US
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Telephone | 740-594-6807
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Fax |
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Provider Business Mailing Address
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Address Line | 29 TECUMSEH DR
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City | CHILLICOTHEE
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State | OH
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Zip | 45601-1154
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Country | US
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Telephone | 740-649-9600
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I.1100205.SUPV
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License Number State | OH
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