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General NPI Number Information
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NPI Number | 1871657494
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Entity Type | Individual
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Provider Name | TAMARA GREENE MSW
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Gender | Female
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Dates
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Enumeration Date | 12/20/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 209 N WILLOW AVE
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City | TAMPA
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State | FL
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Zip | 33606-1333
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Country | US
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Telephone | 813-247-5433
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Fax | 813-247-5433
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Provider Business Mailing Address
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Address Line | PO BOX 4772
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City | TAMPA
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State | FL
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Zip | 33677-4772
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Country | US
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Telephone | 813-247-5433
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Fax | 813-241-4297
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | ISW3700
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License Number State | FL
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