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General NPI Number Information
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NPI Number | 1235952524
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Entity Type | Individual
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Provider Name | ALEXANDRA NICOLE GRECO
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Gender | Female
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Dates
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Enumeration Date | 11/05/2024
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 1150 N 18TH ST STE 300
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City | ABILENE
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State | TX
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Zip | 79601-2931
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Country | US
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Telephone | 325-670-6460
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Fax | 833-437-1257
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Provider Business Mailing Address
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Address Line | 1150 N 18TH ST STE 300
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City | ABILENE
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State | TX
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Zip | 79601-2931
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 1171306
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 1171306
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License Number State | TX
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