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General NPI Number Information
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NPI Number | 1386828127
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Entity Type | Organization
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Legal Business Name | DR. REBECCA GREER
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Dates
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Enumeration Date | 12/27/2007
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Last Update Date | 12/27/2007
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Provider Practice Location Address
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Address Line | 42 EXECUTIVE DRIVE
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City | TOMPKINSVILLE
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State | KY
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Zip | 42167
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Country | US
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Telephone | 270-487-5474
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Fax |
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Provider Business Mailing Address
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Address Line | 42 EXECUTIVE DRIVE
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City | TOMPKINSVILLE
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State | KY
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Zip | 42167
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Country | US
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Telephone | 270-487-5474
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | REBECCA LYNN GREER
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Credential |
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Telephone | 270-487-5474
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 6219
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License Number State | KY
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