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General NPI Number Information
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NPI Number | 1134408933
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Entity Type | Organization
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Legal Business Name | ANDREW SCOTT GREER, PHD
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Dates
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Enumeration Date | 08/10/2011
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Last Update Date | 08/10/2011
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Provider Practice Location Address
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Address Line | 350 E ST SUITE 202
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City | EUREKA
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State | CA
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Zip | 95501-0357
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Country | US
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Telephone | 707-443-2580
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Fax | 888-754-8471
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Provider Business Mailing Address
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Address Line | 350 E ST SUITE 202
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City | EUREKA
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State | CA
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Zip | 95501-0357
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Country | US
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Telephone | 707-443-2580
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Fax | 888-754-8471
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Authorized Official
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Title or Position | OWNER/PROPRIETOR
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Name | ANDREW SCOTT GREER
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Credential | PH.D.
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Telephone | 707-443-2580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY10454
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY10454
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License Number State | CA
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