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General NPI Number Information
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NPI Number | 1881902989
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Entity Type | Individual
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Provider Name | LISA ADEL GREFE L.V.N.
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Gender | Female
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Dates
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Enumeration Date | 09/23/2010
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Last Update Date | 09/23/2010
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Provider Practice Location Address
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Address Line | 555 PRADO VERDE
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City | SAN MARCOS
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State | CA
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Zip | 92069-1831
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Country | US
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Telephone | 760-877-0610
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Fax | 760-736-4023
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Provider Business Mailing Address
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Address Line | 555 PRADO VERDE
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City | SAN MARCOS
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State | CA
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Zip | 92069-1831
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Country | US
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Telephone | 760-877-0610
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Fax | 760-736-4023
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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 | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | VN 155653
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License Number State | CA
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