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General NPI Number Information
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NPI Number | 1780087304
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Entity Type | Individual
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Provider Name | ANITA GREER
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Gender | Female
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Dates
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Enumeration Date | 09/28/2014
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 308 N JACKSON ST
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City | KOSCIUSKO
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State | MS
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Zip | 39090-3322
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Country | US
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Telephone | 662-792-4101
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Fax | 888-887-7401
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Provider Business Mailing Address
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Address Line | PO BOX 372
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City | KOSCIUSKO
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State | MS
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Zip | 39090-0372
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Country | US
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Telephone | 662-792-4101
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Fax | 888-887-7401
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R858205
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License Number State | MS
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