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General NPI Number Information
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NPI Number | 1396202255
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Entity Type | Individual
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Provider Name | NEVIA A GREENWELL LPAT
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Gender | Female
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Dates
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Enumeration Date | 02/27/2019
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Last Update Date | 02/27/2019
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Provider Practice Location Address
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Address Line | 1949 GOLDSMITH LN STE 103
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City | LOUISVILLE
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State | KY
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Zip | 40218-3096
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Country | US
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Telephone | 502-819-6720
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Fax |
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Provider Business Mailing Address
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Address Line | 911 E MAPLE ST
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City | JEFFERSONVILLE
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State | IN
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Zip | 47130-4325
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Country | US
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Telephone | 502-479-4654
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Fax |
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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 | 221700000X
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Taxonomy Name | Art Therapist
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License Number | 161868
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License Number State | KY
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