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General NPI Number Information
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NPI Number | 1912375866
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Entity Type | Individual
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Provider Name | JANELLE PATRICIA GREENE D.D.S
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Gender | Female
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Dates
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Enumeration Date | 09/09/2015
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Last Update Date | 09/24/2024
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Provider Practice Location Address
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Address Line | 4515 HARDING PIKE STE 312
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City | NASHVILLE
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State | TN
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Zip | 37205-2197
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Country | US
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Telephone | 615-292-4100
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Fax |
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Provider Business Mailing Address
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Address Line | 1666 GLEN OAK CT
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City | LAFAYETTE
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State | CA
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Zip | 94549-2256
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Country | US
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Telephone | 510-418-2007
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 65044
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 11247
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License Number State | TN
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