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General NPI Number Information
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NPI Number | 1750807277
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Entity Type | Individual
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Provider Name | THOMAS EDWIN GREIVE JR. BC-HIS
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Gender | Male
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Dates
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Enumeration Date | 08/16/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 94 MAIN STREET SUITE B
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City | HILTON HEAD ISLAND
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State | SC
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Zip | 29926
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Country | US
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Telephone | 843-802-0889
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Fax | 843-802-0890
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Provider Business Mailing Address
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Address Line | 94 MAIN STREET SUITE B
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City | HILTON HEAD ISLAND
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State | SC
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Zip | 29926
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Country | US
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Telephone | 843-802-0889
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Fax | 843-802-0890
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | HAS-0550
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License Number State | SC
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