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General NPI Number Information
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NPI Number | 1679905103
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Entity Type | Individual
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Provider Name | LUCIA GREER D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 08/07/2013
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Last Update Date | 11/06/2018
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Provider Practice Location Address
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Address Line | 1435 SE 8TH TER STE A
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City | CAPE CORAL
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State | FL
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Zip | 33990-3289
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Country | US
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Telephone | 239-574-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 822 BAHIA DEL SOL DR B
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City | RUSKIN
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State | FL
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Zip | 33570-3081
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Country | US
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Telephone | 646-477-0427
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN20338
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License Number State | FL
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