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General NPI Number Information
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NPI Number | 1699227637
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Entity Type | Individual
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Provider Name | AMANDA R GREER LMT
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Gender | Female
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Dates
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Enumeration Date | 10/25/2016
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Last Update Date | 10/25/2016
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Provider Practice Location Address
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Address Line | 289 RODEO DR SUITE 3
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City | FLORENCE
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State | MT
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Zip | 59833-6826
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Country | US
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Telephone | 406-396-1123
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Fax |
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Provider Business Mailing Address
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Address Line | 1773 SLEEPING CHILD RD
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City | HAMILTON
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State | MT
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Zip | 59840-9777
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Country | US
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Telephone | 406-396-1123
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | LMT-LMT-LIC-9980
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 227.018707
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License Number State | IL
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