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General NPI Number Information
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NPI Number | 1700908571
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Entity Type | Individual
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Provider Name | JOSEPH J GRECO JR. MD
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Gender | Male
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 01/07/2011
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Provider Practice Location Address
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Address Line | 120 N OAK STREET
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City | HINSDALE
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State | IL
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Zip | 60521-3829
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Country | US
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Telephone | 630-856-9000
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Fax |
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Provider Business Mailing Address
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Address Line | DEPT 77-9131
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City | CHICAGO
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State | IL
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Zip | 60678-9131
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Country | US
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Telephone | 706-650-0705
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Fax | 706-650-1034
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 036078205
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License Number State | IL
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