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General NPI Number Information
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NPI Number | 1447459250
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Entity Type | Individual
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Provider Name | VICKI S. GREENE RN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/12/2007
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Last Update Date | 07/27/2010
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Provider Practice Location Address
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Address Line | 2101 S. IH 35 SUITE 121
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City | AUSTIN
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State | TX
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Zip | 78741
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Country | US
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Telephone | 512-433-2011
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Fax | 512-433-2073
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Provider Business Mailing Address
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Address Line | 1901 MEMORIAL DR. DEPT. OF VETERANS AFFAIRS
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City | TEMPLE
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State | TX
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Zip | 76504-7451
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Country | US
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Telephone | 254-743-0139
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Fax | 512-433-2073
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 562727
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License Number State | TX
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