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General NPI Number Information
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NPI Number | 1417545575
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Entity Type | Individual
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Provider Name | TERESA LEIGH GRECO CRNP
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Gender | Female
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Dates
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Enumeration Date | 01/05/2021
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Last Update Date | 02/15/2023
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Provider Practice Location Address
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Address Line | 14 W. MAIN STREET
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City | LANDISVILLE
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State | PA
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Zip | 17538
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Country | US
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Telephone | 717-846-6890
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Fax | 717-219-7409
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Provider Business Mailing Address
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Address Line | 1418 CENTER RD
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City | LANCASTER
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State | PA
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Zip | 17603-4730
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Country | US
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Telephone | 717-318-6761
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | SP023008
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License Number State | PA
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