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General NPI Number Information
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NPI Number | 1609880830
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Entity Type | Individual
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Provider Name | DAVID JONATHAN GREENE D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 05/07/2021
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Provider Practice Location Address
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Address Line | 39 SIMON ST UNIT 11-13
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City | NASHUA
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State | NH
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Zip | 03060-3046
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Country | US
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Telephone | 603-883-4008
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Fax | 603-881-3822
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Provider Business Mailing Address
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Address Line | 39 SIMON ST UNIT 11-13
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City | NASHUA
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State | NH
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Zip | 03060-3046
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Country | US
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Telephone | 603-882-4008
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Fax | 603-881-3822
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 2192
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License Number State | NH
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