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General NPI Number Information
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NPI Number | 1376877142
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Entity Type | Organization
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Legal Business Name | FRANK J. GREENE M.D., P.C.
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Dates
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Enumeration Date | 09/28/2009
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Last Update Date | 09/28/2009
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Provider Practice Location Address
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Address Line | 10 W SQUARE LAKE RD SUITE 222
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48302-0465
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Country | US
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Telephone | 248-858-2238
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Fax |
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Provider Business Mailing Address
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Address Line | 10 W SQUARE LAKE RD SUITE 222
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48302-0465
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Country | US
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Telephone | 248-858-2238
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | ALAINE LOWE
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Credential |
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Telephone | 248-858-2238
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 4301027444
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License Number State | MI
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