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General NPI Number Information
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NPI Number | 1295823482
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Entity Type | Individual
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Provider Name | BRENDA L GREENE CRNP
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Gender | Female
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 11/04/2021
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Provider Practice Location Address
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Address Line | 4090 E GALBRAITH RD
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City | CINCINNATI
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State | OH
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Zip | 45236-2324
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Country | US
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Telephone | 513-891-0175
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Fax | 513-891-0129
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Provider Business Mailing Address
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Address Line | 161 WASHINGTON ST., EIGHT TOWER BRIDGE STE 1400
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City | CONSHOHOCKEN
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State | PA
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Zip | 19428
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Country | US
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Telephone | 484-351-3043
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Fax | 484-450-2617
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NP1624
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN.CNP.01624
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License Number State | OH
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