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General NPI Number Information
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NPI Number | 1841137452
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Entity Type | Individual
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Provider Name | SUSAN ELIZABETH GREINER
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Gender | Female
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Dates
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Enumeration Date | 05/01/2026
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Last Update Date | 05/01/2026
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Provider Practice Location Address
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Address Line | 2115 5 1/2 MILE RD
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City | CALEDONIA
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State | WI
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Zip | 53402-1501
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Country | US
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Telephone | 262-664-6659
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Fax | 262-624-0555
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Provider Business Mailing Address
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Address Line | 3109 MOUNT PLEASANT ST
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City | RACINE
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State | WI
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Zip | 53404-1511
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Country | US
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Telephone | 262-664-6659
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Fax | 262-624-0555
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 100451-30
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License Number State | WI
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