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General NPI Number Information
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NPI Number | 1750460549
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Entity Type | Individual
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Provider Name | SIDNEY THOMAS GREENSTONE D.O.
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Gender | Male
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2996 NC 69 STE 6
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City | HAYESVILLE
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State | NC
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Zip | 28904-7258
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Country | US
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Telephone | 828-389-1795
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Fax | 828-389-1658
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Provider Business Mailing Address
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Address Line | 2996 NC 69 STE 6
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City | HAYESVILLE
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State | NC
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Zip | 28904-7258
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Country | US
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Telephone | 828-389-1795
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Fax | 828-389-1658
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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 | 207QA0000X
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Taxonomy Name | Adolescent Medicine (Family Medicine) Physician
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License Number | 9900061
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License Number State | NC
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