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General NPI Number Information
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NPI Number | 1558220376
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Entity Type | Individual
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Provider Name | JASON BRYAN GRECO RRT, RRT-NPS
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Gender | Male
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Dates
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Enumeration Date | 01/19/2026
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Last Update Date | 04/12/2026
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Provider Practice Location Address
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Address Line | 1 MEDICAL PLAZA DR
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City | ROSEVILLE
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State | CA
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Zip | 95661-3037
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Country | US
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Telephone | 916-781-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 24287 GOLD CIRCLE DR
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City | PIONEER
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State | CA
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Zip | 95666-9331
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Country | US
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Telephone | 209-304-8855
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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 | 2279C0205X
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Taxonomy Name | Critical Care Registered Respiratory Therapist
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License Number | 49416
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License Number State | CA
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