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General NPI Number Information
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NPI Number | 1518817352
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Entity Type | Individual
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Provider Name | ARTURIANNA JORDAN-GREEN
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Gender | Female
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Dates
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Enumeration Date | 01/31/2026
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Last Update Date | 01/31/2026
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Provider Practice Location Address
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Address Line | 4040 S TYLER ST STE 20
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City | TACOMA
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State | WA
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Zip | 98409-2163
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Country | US
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Telephone | 206-251-7744
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Fax |
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Provider Business Mailing Address
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Address Line | 3925 MASON LOOP RD APT B
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City | TACOMA
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State | WA
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Zip | 98409-2118
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Country | US
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Telephone | 206-251-7744
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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 | 224P00000X
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Taxonomy Name | Prosthetist
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License Number |
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | WA
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