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General NPI Number Information
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NPI Number | 1003820721
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Entity Type | Individual
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Provider Name | STACY GREENE M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 2900 MAGAZINE ST
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City | NEW ORLEANS
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State | LA
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Zip | 70115-2231
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Country | US
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Telephone | 504-208-2000
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Fax | 833-471-6166
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Provider Business Mailing Address
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Address Line | 6255 W SUNSET BLVD FL 21
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City | LOS ANGELES
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State | CA
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Zip | 90028-7422
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Country | US
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Telephone | 323-860-5200
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Fax | 323-467-7119
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 025130
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 69410
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License Number State | GA
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