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General NPI Number Information
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NPI Number | 1659312627
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Entity Type | Individual
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Provider Name | HENRY REX GREENE M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 02/13/2019
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Provider Practice Location Address
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Address Line | 2710 DOLBEER ST
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City | EUREKA
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State | CA
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Zip | 95501
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Country | US
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Telephone | 707-267-2060
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Fax | 707-267-2061
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Provider Business Mailing Address
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Address Line | 710 S LINCOLN RD STE 400
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City | ESCANABA
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State | MI
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Zip | 49829-1293
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Country | US
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Telephone | 906-233-9363
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Fax | 906-789-3103
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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 | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | ME120037
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 35087628
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | G19771
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License Number State | CA
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