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General NPI Number Information
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NPI Number | 1417675976
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Entity Type | Individual
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Provider Name | DANIELLE MARIETTA GRECO
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Gender | Female
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Dates
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Enumeration Date | 08/19/2022
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Last Update Date | 08/19/2022
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Provider Practice Location Address
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Address Line | 1411 FOLLY RD STE 100
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City | CHARLESTON
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State | SC
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Zip | 29412-9696
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Country | US
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Telephone | 843-762-5570
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Fax |
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Provider Business Mailing Address
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Address Line | 1743 CENTRAL PARK RD APT 413
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City | CHARLESTON
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State | SC
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Zip | 29412-2880
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 43633
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License Number State | SC
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