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General NPI Number Information
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NPI Number | 1215548508
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Entity Type | Individual
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Provider Name | MRS. HELEN LACSINA GREER
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Gender | Female
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Dates
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Enumeration Date | 08/11/2020
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Last Update Date | 08/11/2020
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Provider Practice Location Address
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Address Line | 248 ELMA AVE SE
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City | SALEM
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State | OR
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Zip | 97317-5464
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Country | US
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Telephone | 971-600-3969
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Fax | 971-599-5622
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Provider Business Mailing Address
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Address Line | PO BOX 7956
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City | SALEM
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State | OR
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Zip | 97303-0206
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Country | US
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Telephone | 503-602-5015
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Fax | 503-385-8024
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 525366
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License Number State | OR
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