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NPI 1164421814

NPI 1164421814 : VALERIE GREEN-AMOS MD : COMPTON, CA

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General NPI Number Information
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    NPI Number           |    1164421814
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    Entity Type          |    Individual 
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    Provider Name        |    VALERIE GREEN-AMOS MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/15/2005
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    Last Update Date     |    01/18/2026
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Provider Practice Location Address
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    Address Line         |    818 W ALONDRA BLVD 
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    City                 |    COMPTON
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    State                |    CA
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    Zip                  |    90220-3500
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    Country              |    US
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    Telephone            |    310-537-1337
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 35380 
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89133-5380
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    Country              |    US
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    Telephone            |    702-579-3203
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    C1-0006360
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    License Number State |    DE
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Taxonomy #2
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    A91907
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    License Number State |    CA
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