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NPI 1205757309

NPI 1205757309 : CHRISTINA GREEN, OD : DENVER, CO

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General NPI Number Information
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    NPI Number           |    1205757309
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    Entity Type          |    Organization 
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    Legal Business Name  |    CHRISTINA GREEN, OD 
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Dates
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    Enumeration Date     |    07/23/2026
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    Last Update Date     |    07/23/2026
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Provider Practice Location Address
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    Address Line         |    2031 S FEDERAL BLVD 
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    City                 |    DENVER
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    State                |    CO
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    Zip                  |    80219-5429
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    Country              |    US
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    Telephone            |    720-807-7600
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2031 S FEDERAL BLVD 
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    City                 |    DENVER
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    State                |    CO
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    Zip                  |    80219-5429
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     CHRISTINA  GREEN 
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    Credential           |    OD
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    Telephone            |    310-722-6113
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    
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    License Number State |    
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