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General NPI Number Information
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NPI Number | 1902564123
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Entity Type | Individual
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Provider Name | MEGAN ELIZABETH WALL GREENE
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Gender | Female
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Dates
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Enumeration Date | 12/05/2021
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Last Update Date | 12/05/2021
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Provider Practice Location Address
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Address Line | 217 N MAIN ST
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City | GROVER
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State | NC
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Zip | 28073-9553
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Country | US
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Telephone | 704-457-4075
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Fax |
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Provider Business Mailing Address
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Address Line | 506 CASAR BELWOOD RD
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City | LAWNDALE
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State | NC
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Zip | 28090-8201
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Country | US
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Telephone | 336-209-9407
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | GREE-D6DSF
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License Number State | NC
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