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General NPI Number Information
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NPI Number | 1760699102
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Entity Type | Organization
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Legal Business Name | GREENE PODIATRY ASSOCIATES. INC
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 246 ELM DR
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City | WAYNESBURG
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State | PA
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Zip | 15370-8269
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Country | US
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Telephone | 724-852-2255
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Fax | 724-627-5540
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Provider Business Mailing Address
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Address Line | 246 ELM DR
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City | WAYNESBURG
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State | PA
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Zip | 15370-8269
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Country | US
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Telephone | 724-852-2255
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Fax | 724-627-5540
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Authorized Official
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Title or Position | SECRETARY TREASURER
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Name | DR. PAULA RAUGELLIS
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Credential | DPM
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Telephone | 724-852-2255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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