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General NPI Number Information
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NPI Number | 1447165220
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Entity Type | Individual
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Provider Name | NICHOLAS GREINER
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Gender | Male
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Dates
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Enumeration Date | 08/17/2026
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Last Update Date | 08/17/2026
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Provider Practice Location Address
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Address Line | 2430 EMERALD PL STE 201
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City | GREENVILLE
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State | NC
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Zip | 27834-5743
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Country | US
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Telephone | 845-545-0923
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Fax |
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Provider Business Mailing Address
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Address Line | 4009 LACROUX CT
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City | OCEAN SPRINGS
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State | MS
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Zip | 39564-1418
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Country | US
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Telephone | 228-806-9030
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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 | 367H00000X
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Taxonomy Name | Anesthesiologist Assistant
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License Number |
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License Number State |
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