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General NPI Number Information
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NPI Number | 1275161689
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Entity Type | Individual
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Provider Name | JOSEPH P. GRECO PA-C
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Gender | Male
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Dates
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Enumeration Date | 03/31/2020
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 2300 SOUTHWOOD DR
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City | NASHUA
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State | NH
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Zip | 03063-1818
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Country | US
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Telephone | 603-577-4170
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Fax |
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Provider Business Mailing Address
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Address Line | 360 US HIGHWAY 1 BYP UNIT 102
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City | PORTSMOUTH
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State | NH
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Zip | 03801-7105
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Country | US
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Telephone | 603-410-6700
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Fax | 603-319-8308
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA1862
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1862
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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