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General NPI Number Information
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NPI Number | 1427702505
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Entity Type | Individual
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Provider Name | BRIA MORNIQUE GREENE DDS
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Gender | Female
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Dates
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Enumeration Date | 02/08/2022
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 1000 E BROAD ST FL 6 SUITE 200
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City | RICHMOND
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State | VA
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Zip | 23219
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Country | US
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Telephone | 804-828-9095
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Fax |
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Provider Business Mailing Address
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Address Line | 12 CRESTBROOK CT
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City | GREENSBORO
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State | NC
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Zip | 27455-1487
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Country | US
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Telephone | 336-327-0996
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 13080
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 0401419486
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License Number State | VA
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