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General NPI Number Information
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NPI Number | 1548132616
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Entity Type | Individual
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Provider Name | ELIZABETH GREEN RN
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Gender | Female
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Dates
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Enumeration Date | 09/19/2025
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 4011 GATEWAY BLVD
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City | NEWBURGH
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State | IN
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Zip | 47630-8947
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Country | US
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Telephone | 812-842-2300
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 JEANETTE AVE
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City | EVANSVILLE
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State | IN
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Zip | 47714-5529
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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 |
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 28265039C
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License Number State | IN
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