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General NPI Number Information
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NPI Number | 1861670416
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Entity Type | Organization
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Legal Business Name | GREENVIEW SPECIALTY ASSOCIATES LLC
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Dates
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Enumeration Date | 02/06/2008
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Last Update Date | 01/14/2014
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Provider Practice Location Address
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Address Line | 1325 ANDREA ST SUITE 201
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City | BOWLING GREEN
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State | KY
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Zip | 42104-5852
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Country | US
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Telephone | 270-393-9663
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Fax | 270-393-9664
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Provider Business Mailing Address
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Address Line | 1325 ANDREA ST SUITE 201
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City | BOWLING GREEN
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State | KY
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Zip | 42104-5852
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Country | US
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Telephone | 270-393-9663
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Fax | 270-393-9664
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | GARY DUNCAN
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Credential |
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Telephone | 615-886-4969
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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