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General NPI Number Information
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NPI Number | 1043138951
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Entity Type | Individual
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Provider Name | LATOYA GREEN
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Gender | Female
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Dates
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Enumeration Date | 07/08/2026
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Last Update Date | 07/08/2026
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Provider Practice Location Address
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Address Line | 7592 WITCH HAZEL DR
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City | CANAL WINCHESTER
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State | OH
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Zip | 43110-7735
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Country | US
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Telephone | 614-285-9302
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Fax |
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Provider Business Mailing Address
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Address Line | 7592 WITCH HAZEL DR
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City | CANAL WINCHESTER
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State | OH
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Zip | 43110-7735
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Country | US
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Telephone | 614-285-9302
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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 | 163WA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Registered Nurse
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License Number | RN.556045
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License Number State | OH
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