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General NPI Number Information
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NPI Number | 1912112400
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Entity Type | Individual
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Provider Name | TERESA A GRECO RPH
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Gender | Female
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 250 S 21ST ST
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City | EASTON
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State | PA
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Zip | 18042-3851
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Country | US
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Telephone | 610-250-4775
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Fax |
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Provider Business Mailing Address
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Address Line | 39 PHYLLESE DR
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City | NORTHAMPTON
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State | PA
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Zip | 18067-2008
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Country | US
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Telephone | 610-502-0566
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28RI02171700
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License Number State | NJ
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