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General NPI Number Information
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NPI Number | 1841321817
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Entity Type | Individual
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Provider Name | PATRICIA MARIE GRECO NP
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Gender | Female
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 2250 S MAIN ST STE 106
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City | CORONA
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State | CA
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Zip | 92882-2501
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Country | US
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Telephone | 951-371-2703
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Fax |
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Provider Business Mailing Address
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Address Line | 940 N HAVEN AVE STE 180-25
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City | ONTARIO
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State | CA
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Zip | 91764-4970
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Country | US
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Telephone |
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Fax |
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | NP9693
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License Number State | CA
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