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General NPI Number Information
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NPI Number | 1184176380
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Entity Type | Individual
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Provider Name | SARAH ROSE GREENE BS, BSN, NP
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Gender | Female
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Dates
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Enumeration Date | 11/04/2016
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Last Update Date | 04/23/2018
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Provider Practice Location Address
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Address Line | 834 WALNUT STREET SUITE 650
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City | PHILADELPHIA
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State | PA
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Zip | 19107-5109
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Country | US
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Telephone | 215-955-5161
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Fax |
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Provider Business Mailing Address
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Address Line | 111 S. 11TH STREET 35E MICU
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City | PHILADELPHIA
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State | PA
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Zip | 19107
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Country | US
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Telephone | 215-955-7074
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | RN620792
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | SP016810
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License Number State | PA
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