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General NPI Number Information
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NPI Number | 1578502340
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Entity Type | Individual
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Provider Name | CHRISTOPHER M GREENE M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 05/20/2019
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Provider Practice Location Address
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Address Line | 1431 SW 1ST AVE
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City | OCALA
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State | FL
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Zip | 34471-6500
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Country | US
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Telephone | 352-401-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 111 COLCHESTER AVE FAHC-WP2
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City | BURLINGTON
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State | VT
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Zip | 05401-1473
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Country | US
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Telephone | 802-847-2415
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Fax | 802-847-5324
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 042-0009851
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 207LC0200X
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Taxonomy Name | Critical Care Medicine (Anesthesiology) Physician
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License Number | ME139334
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License Number State | FL
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