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General NPI Number Information
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NPI Number | 1508810813
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Entity Type | Individual
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Provider Name | RONALD D GRECO MD
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Gender | Male
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 09/01/2023
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Provider Practice Location Address
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Address Line | 10988 BENNETT-STATE ROAD
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City | FORESTVILLE
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State | NY
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Zip | 14062
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Country | US
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Telephone | 716-363-6050
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Fax | 833-471-6206
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Provider Business Mailing Address
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Address Line | 10988 BENNETT-STATE ROAD
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City | FORESTVILLE
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State | NY
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Zip | 14062
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Country | US
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Telephone | 716-363-6050
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Fax | 833-471-6206
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 163801
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | 163801-1
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License Number State | NY
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