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General NPI Number Information
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NPI Number | 1043102056
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Entity Type | Individual
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Provider Name | AMY ELIZABETH GREEN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/16/2025
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 400 ALTON RD APT 2109
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City | MIAMI BEACH
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State | FL
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Zip | 33139-6749
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Country | US
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Telephone | 312-320-5454
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Fax |
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Provider Business Mailing Address
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Address Line | 400 ALTON RD APT 2109
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City | MIAMI BEACH
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State | FL
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Zip | 33139-6749
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Country | US
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Telephone | 312-320-5454
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 0512889882
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 1835C0205X
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Taxonomy Name | Critical Care Pharmacist
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License Number | 012222
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License Number State | KY
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