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General NPI Number Information
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NPI Number | 1699639989
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Entity Type | Individual
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Provider Name | JOY LYNN GREEN LPN
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Gender | Female
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Dates
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Enumeration Date | 12/11/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 536 MONOCACY TRL
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City | SPRING GROVE
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State | PA
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Zip | 17362-1512
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Country | US
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Telephone | 717-880-7137
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Fax |
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Provider Business Mailing Address
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Address Line | 416 PULASKI PL
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City | DALLASTOWN
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State | PA
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Zip | 17313-9614
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Country | US
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Telephone | 717-880-7137
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | PN267483
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License Number State | PA
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