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General NPI Number Information
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NPI Number | 1427240480
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Entity Type | Individual
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Provider Name | JOAN N LEYRER GREENE APRN CPNP
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Gender | Female
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Dates
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Enumeration Date | 08/14/2007
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Last Update Date | 08/14/2007
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Provider Practice Location Address
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Address Line | 10 MARSETT ROAD SUITE #2
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City | SHELBURNE
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State | VT
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Zip | 05482
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Country | US
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Telephone | 802-985-5099
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Fax | 802-985-2366
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Provider Business Mailing Address
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Address Line | 10 MARSETT ROAD SUITE #2
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City | SHELBURNE
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State | VT
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Zip | 05482
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Country | US
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Telephone | 802-985-5099
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Fax | 802-985-2366
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 1010036281
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License Number State | VT
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