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General NPI Number Information
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NPI Number | 1518786847
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Entity Type | Individual
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Provider Name | CYNTHIA LEIGH GREEN RNC, IBCLC
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Gender | Female
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Dates
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Enumeration Date | 10/03/2024
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Last Update Date | 10/03/2024
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Provider Practice Location Address
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Address Line | 642 ULUKAHIKI ST STE 305
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City | KAILUA
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State | HI
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Zip | 96734-4439
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Country | US
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Telephone | 808-263-5433
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Fax |
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Provider Business Mailing Address
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Address Line | 1234 ALEXANDER ST APT 204
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City | HONOLULU
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State | HI
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Zip | 96826-1231
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Country | US
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Telephone | 706-325-9418
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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 | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | 188233
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License Number State | GA
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