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General NPI Number Information
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NPI Number | 1912173725
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Entity Type | Individual
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Provider Name | PAUL THOMAS GRECO M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/01/2008
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Last Update Date | 01/13/2023
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Provider Practice Location Address
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Address Line | 1333 3RD AVE S STE 304
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City | NAPLES
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State | FL
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Zip | 34102-6499
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Country | US
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Telephone | 239-352-5600
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Fax | 239-353-8900
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Provider Business Mailing Address
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Address Line | 1333 3RD AVE S STE 402
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City | NAPLES
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State | FL
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Zip | 34102-6535
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Country | US
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Telephone | 239-352-5600
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Fax | 239-353-8900
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | P0980
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD-40387
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MD-40387
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License Number State | IA
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME147717
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License Number State | FL
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