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General NPI Number Information
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NPI Number | 1619244084
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Entity Type | Organization
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Legal Business Name | GREENE COUNTY HEALTH CARE INCORPORATED
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Dates
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Enumeration Date | 11/29/2011
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 313 MAIN ST
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City | BAYBORO
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State | NC
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Zip | 28515-0000
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Country | US
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Telephone | 252-745-2070
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Fax | 855-422-9508
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Provider Business Mailing Address
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Address Line | 7 PROFESSIONAL DR
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City | SNOW HILL
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State | NC
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Zip | 28580-1332
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Country | US
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Telephone | 252-747-8162
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Fax | 252-747-8163
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Authorized Official
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Title or Position | CFO
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Name | DAPHNE BETTS-HEMBY
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Credential |
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Telephone | 252-747-8162
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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