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General NPI Number Information
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NPI Number | 1780609701
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Entity Type | Individual
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Provider Name | SUZANNE GREB D.O.
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Gender | Female
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 06/08/2022
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Provider Practice Location Address
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Address Line | 7095 WESTBRANCH HWY STE 1100
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City | LEWISBURG
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State | PA
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Zip | 17837-6864
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Country | US
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Telephone | 570-524-5050
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Fax | 570-524-5250
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Provider Business Mailing Address
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Address Line | ONE HOSPITAL DRIVE SUITE 306
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City | LEWISBURG
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State | PA
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Zip | 17837-9315
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Country | US
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Telephone | 570-522-4110
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Fax | 570-768-3911
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS008143L
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License Number State | PA
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