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General NPI Number Information
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NPI Number | 1326814492
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Entity Type | Organization
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Legal Business Name | NATIONAL INSTITUTES OF HEALTH
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Dates
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Enumeration Date | 11/30/2023
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Last Update Date | 11/30/2023
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Provider Practice Location Address
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Address Line | 10 CENTER DR # 5-5485
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City | BETHESDA
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State | MD
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Zip | 20892-0004
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Country | US
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Telephone | 301-273-8617
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Fax |
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Provider Business Mailing Address
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Address Line | 10 CENTER DR # 5-5485
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City | BETHESDA
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State | MD
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Zip | 20892-0004
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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 | NURSE PRACTITIONER
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Name | DR. MARY LACY GRECCO
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Credential | DNP
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Telephone | 301-273-8617
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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