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NPI 1932260940

NPI 1932260940 : REBECCA LYNN GREER D.M.D : TOMPKINSVILLE, KY

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General NPI Number Information
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    NPI Number           |    1932260940
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    Entity Type          |    Individual 
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    Provider Name        |    REBECCA LYNN GREER D.M.D
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/13/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    42 EXECUTIVE DR 
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    City                 |    TOMPKINSVILLE
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    State                |    KY
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    Zip                  |    42167-7478
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    Country              |    US
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    Telephone            |    270-487-5474
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    Fax                  |    270-487-5156
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Provider Business Mailing Address
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    Address Line         |    8020 BURKESVILLE RD 
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    City                 |    GLASGOW
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    State                |    KY
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    Zip                  |    42141-7870
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    Country              |    US
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    Telephone            |    270-678-7845
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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       |    6219
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    License Number State |    KY
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