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General NPI Number Information
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NPI Number | 1730250465
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Entity Type | Individual
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Provider Name | ARLEN DAVID GREEN D.O.
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Gender | Male
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 08/27/2010
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Provider Practice Location Address
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Address Line | 27882 FORBES RD SUITE 100
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-1267
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Country | US
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Telephone | 949-495-5252
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Fax |
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Provider Business Mailing Address
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Address Line | 27882 FORBES RD SUITE 100
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-1267
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Country | US
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Telephone | 949-364-6888
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 20A 9441
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 5048
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License Number State | AZ
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