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General NPI Number Information
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NPI Number | 1336265602
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Entity Type | Individual
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Provider Name | KENNETH ROBERT GREER M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 05/17/2012
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Provider Practice Location Address
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Address Line | 1400 LOCUST ST SUITE 4230
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City | PITTSBURGH
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State | PA
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Zip | 15219-5114
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Country | US
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Telephone | 412-232-7341
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Fax | 412-232-5957
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Provider Business Mailing Address
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Address Line | 1509 ASHBURY LN
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City | PITTSBURGH
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State | PA
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Zip | 15237-6637
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Country | US
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Telephone | 412-366-2050
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Fax | 412-366-2050
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | MD041522E
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License Number State | PA
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