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General NPI Number Information
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NPI Number | 1699310466
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Entity Type | Individual
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Provider Name | KENNETH LEROY GREEN JR.
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Gender | Male
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Dates
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Enumeration Date | 11/15/2019
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Last Update Date | 11/15/2019
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Provider Practice Location Address
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Address Line | 7939 W GULF TO LAKE HWY
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City | CRYSTAL RIVER
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State | FL
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Zip | 34429-7931
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Country | US
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Telephone | 352-257-7874
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Fax |
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Provider Business Mailing Address
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Address Line | 1101 HAMLIN AVE
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City | HOWEY IN THE HILLS
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State | FL
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Zip | 34737-3706
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Country | US
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Telephone | 352-516-1347
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Fax | 813-354-2497
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | FL
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