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General NPI Number Information
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NPI Number | 1851873699
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Entity Type | Organization
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Legal Business Name | GREATER GOOD ENTERPRISES, LLC
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Dates
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Enumeration Date | 08/29/2018
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Last Update Date | 08/29/2018
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Provider Practice Location Address
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Address Line | 1326 RUSHGROVE CIR
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City | DOVER
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State | FL
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Zip | 33527-4953
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Country | US
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Telephone | 941-809-1708
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Fax |
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Provider Business Mailing Address
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Address Line | 1326 RUSHGROVE CIR
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City | DOVER
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State | FL
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Zip | 33527-4953
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Country | US
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Telephone | 941-809-1708
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEPHEN D LEE
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Credential | DC
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Telephone | 941-809-1708
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | CH8003
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License Number State | FL
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