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General NPI Number Information
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NPI Number | 1043038862
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Entity Type | Individual
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Provider Name | SONJAUH GREEN LMT
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Gender | Female
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Dates
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Enumeration Date | 10/01/2024
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 10001 LAKE FOREST BLVD STE 311
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City | NEW ORLEANS
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State | LA
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Zip | 70127-6200
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Country | US
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Telephone | 504-345-2479
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Fax |
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Provider Business Mailing Address
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Address Line | 4542 GOOD DR
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City | NEW ORLEANS
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State | LA
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Zip | 70127-3804
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Country | US
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Telephone | 504-278-0525
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State | LA
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