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General NPI Number Information
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NPI Number | 1679670061
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Entity Type | Individual
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Provider Name | PAMELA RENEE GREER M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 9600 VETERANS DRIVE
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City | TACOMA
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State | WA
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Zip | 98493
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Country | US
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Telephone | 253-583-1910
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Fax | 253-589-4071
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Provider Business Mailing Address
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Address Line | 14546 SE 188TH WAY
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City | RENTON
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State | WA
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Zip | 98058-9344
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Country | US
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Telephone | 253-583-1910
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Fax | 253-589-4071
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD19906
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License Number State | WA
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