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General NPI Number Information
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NPI Number | 1982037149
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Entity Type | Individual
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Provider Name | CINDRA LYNN GREENE APRN
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Gender | Female
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Dates
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Enumeration Date | 08/12/2013
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Last Update Date | 09/22/2015
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Provider Practice Location Address
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Address Line | 155 BRICKLAYER STREET
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City | OLIVE HILL
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State | KY
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Zip | 41164-1268
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Country | US
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Telephone | 606-286-4152
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Fax | 606-286-2385
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Provider Business Mailing Address
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Address Line | PO BOX 1268
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City | OLIVE HILL
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State | KY
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Zip | 41164-1268
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Country | US
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Telephone | 606-286-4152
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Fax | 606-286-2385
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1044926
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 3008061
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License Number State | KY
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