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General NPI Number Information
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NPI Number | 1225352735
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Entity Type | Organization
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Legal Business Name | GREENVILLE MEDICAL CARE
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Dates
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Enumeration Date | 03/26/2010
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 216 E ARLINGTON BLVD
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City | GREENVILLE
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State | NC
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Zip | 27858-5014
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Country | US
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Telephone | 252-757-0004
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Fax | 252-757-0095
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Provider Business Mailing Address
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Address Line | 216 E ARLINGTON BLVD P.O. BOX 8265
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City | GREENVILLE
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State | NC
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Zip | 27858-5014
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Country | US
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Telephone | 252-757-0004
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Fax | 252-757-0095
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Authorized Official
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Title or Position | OWNER
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Name | DR. BRUCE DONALD MCCREA
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Credential | FNP
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Telephone | 252-757-0004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 5004089
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License Number State | NC
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