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General NPI Number Information
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NPI Number | 1912260969
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Entity Type | Individual
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Provider Name | BRANDON GREENE M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/22/2012
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Last Update Date | 02/14/2022
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Provider Practice Location Address
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Address Line | 1 ATWELL RD
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City | COOPERSTOWN
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State | NY
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Zip | 13326-1301
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Country | US
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Telephone | 607-547-7980
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Fax | 607-547-6782
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Provider Business Mailing Address
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Address Line | 1 ATWELL RD
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City | COOPERSTOWN
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State | NY
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Zip | 13326-1301
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Country | US
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Telephone | 607-547-3480
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Fax | 607-547-3480
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 313481
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License Number State | NY
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