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NPI 1114111846

NPI 1114111846 : KATHIE JANE GREEAR RRT/CPFT : LEEDS, ME

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General NPI Number Information
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    NPI Number           |    1114111846
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    Entity Type          |    Individual 
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    Provider Name        |    KATHIE JANE GREEAR RRT/CPFT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/06/2007
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    Last Update Date     |    09/06/2007
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Provider Practice Location Address
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    Address Line         |    852 RIVER RD 
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    City                 |    LEEDS
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    State                |    ME
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    Zip                  |    04263-3130
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    Country              |    US
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    Telephone            |    207-240-0994
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 66 
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    City                 |    LEEDS
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    State                |    ME
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    Zip                  |    04263-0066
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    Country              |    US
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    Telephone            |    
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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        |    225B00000X
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    Taxonomy Name        |    Pulmonary Function Technologist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    227900000X
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    Taxonomy Name        |    Registered Respiratory Therapist
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    License Number       |    
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    License Number State |    
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