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General NPI Number Information
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NPI Number | 1265546212
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Entity Type | Individual
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Provider Name | DAVID HUGH GREENBLOTT DPM
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Gender | Male
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 03/15/2019
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Provider Practice Location Address
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Address Line | 62 BROWN ST STE 206
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City | HAVERHILL
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State | MA
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Zip | 01830-6790
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Country | US
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Telephone | 978-556-9700
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Fax | 617-567-2121
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Provider Business Mailing Address
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Address Line | PO BOX 208
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City | WEST NEWBURY
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State | MA
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Zip | 01985-0208
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Country | US
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Telephone | 978-556-9700
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Fax | 978-521-8542
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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 | 213ES0000X
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Taxonomy Name | Sports Medicine Podiatrist
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License Number | 2036
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License Number State | MA
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