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General NPI Number Information
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NPI Number | 1538297510
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Entity Type | Organization
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Legal Business Name | DRS. GREENE & MILLER LLP
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 507 E GENESEE ST
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City | FAYETTEVILLE
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State | NY
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Zip | 13066-1536
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Country | US
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Telephone | 315-637-4616
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Fax | 315-637-0110
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Provider Business Mailing Address
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Address Line | 507 E GENESEE ST PO BOX 482
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City | FAYETTEVILLE
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State | NY
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Zip | 13066-1536
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Country | US
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Telephone | 315-637-4616
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Fax | 315-637-0110
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. MICHAEL J MILLER SR.
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Credential | D.D.S.
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Telephone | 315-637-4616
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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 |
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License Number State |
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