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General NPI Number Information
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NPI Number | 1245581842
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Entity Type | Individual
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Provider Name | SANDRA S. GREEAR RN
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Gender | Female
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Dates
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Enumeration Date | 09/24/2012
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Last Update Date | 09/24/2012
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Provider Practice Location Address
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Address Line | 401 E 20TH ST
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City | COVINGTON
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State | KY
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Zip | 41014-1583
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Country | US
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Telephone | 859-655-3271
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Fax | 859-655-1198
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Provider Business Mailing Address
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Address Line | 1715 CHARLESTON CT
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City | FLORENCE
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State | KY
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Zip | 41042-7607
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Country | US
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Telephone | 859-655-3271
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Fax | 859-655-1198
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 1060765
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License Number State | KY
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