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General NPI Number Information
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NPI Number | 1972732436
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Entity Type | Individual
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Provider Name | KATIE LYNN GREINER O.D.
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Gender | Female
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Dates
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Enumeration Date | 07/06/2009
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Last Update Date | 09/21/2016
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Provider Practice Location Address
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Address Line | 2013 STATE ROUTE 59
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City | KENT
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State | OH
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Zip | 44240-4113
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Country | US
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Telephone | 330-678-0201
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Fax | 330-678-4272
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Provider Business Mailing Address
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Address Line | 2013 STATE ROUTE 59
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City | KENT
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State | OH
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Zip | 44240-4113
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Country | US
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Telephone | 330-678-0201
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Fax | 330-678-4272
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3150-035
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 5944
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License Number State | OH
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