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General NPI Number Information
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NPI Number | 1629371844
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Entity Type | Individual
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Provider Name | DONALD JAMES GREELEY JR. MD
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Gender | Male
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Dates
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Enumeration Date | 12/09/2010
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Last Update Date | 07/01/2011
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Provider Practice Location Address
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Address Line | 29 WALDEN LN
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City | PITTSFIELD
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State | MA
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Zip | 01201-1555
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Country | US
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Telephone | 781-724-9155
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Fax |
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Provider Business Mailing Address
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Address Line | 365 GROVE ST
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City | NORWELL
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State | MA
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Zip | 02061-1111
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Country | US
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Telephone | 781-659-5908
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 76262
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License Number State | MA
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