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General NPI Number Information
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NPI Number | 1659287985
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Entity Type | Individual
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Provider Name | MADELINE ELIZABETH GRESCO
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Gender | Female
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Dates
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Enumeration Date | 08/19/2026
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Last Update Date | 08/19/2026
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Provider Practice Location Address
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Address Line | 49 RIDGMONT DR
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City | RIDGWAY
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State | PA
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Zip | 15853-9700
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Country | US
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Telephone | 814-245-2119
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Fax |
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Provider Business Mailing Address
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Address Line | 3544 MEFFERTS RUN RD
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City | WILCOX
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State | PA
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Zip | 15870-3326
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Country | US
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Telephone | 814-335-9428
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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