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General NPI Number Information
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NPI Number | 1982129755
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Entity Type | Individual
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Provider Name | JENNA NICOLE GREKU M.ED., ED.S.,
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Gender | Female
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Dates
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Enumeration Date | 08/14/2017
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Last Update Date | 08/14/2017
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Provider Practice Location Address
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Address Line | 1490 PARKWAY BLVD
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City | ALLIANCE
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State | OH
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Zip | 44601-3806
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Country | US
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Telephone | 330-829-2264
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Fax |
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Provider Business Mailing Address
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Address Line | 3771 CHESTNUT RDG
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City | LOUISVILLE
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State | OH
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Zip | 44641-8800
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Country | US
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Telephone | 330-205-7941
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | OH3256265
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License Number State | OH
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