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General NPI Number Information
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NPI Number | 1790010262
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Entity Type | Individual
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Provider Name | PAMELA J GREENLEAF MS, RD, LD
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Gender | Female
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Dates
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Enumeration Date | 10/16/2009
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Last Update Date | 09/06/2024
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Provider Practice Location Address
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Address Line | 205 E 7TH ST STE 215
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City | HAYS
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State | KS
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Zip | 67601-4161
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Country | US
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Telephone | 785-335-9107
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Fax | 785-536-6544
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Provider Business Mailing Address
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Address Line | 2705 WOODROW CT
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City | HAYS
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State | KS
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Zip | 67601-1618
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Country | US
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Telephone | 785-335-9107
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Fax | 785-536-6544
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 1437
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License Number State | KS
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