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General NPI Number Information
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NPI Number | 1861450074
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Entity Type | Individual
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Provider Name | JAMES M. GREEN MD
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Gender | Male
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 01/03/2020
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Provider Practice Location Address
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Address Line | VAPHS UNIVERSITY DRIVE C
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City | PITTSBURGH
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State | PA
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Zip | 15240
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Country | US
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Telephone | 412-360-2863
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Fax |
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Provider Business Mailing Address
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Address Line | VA PHS UNIVERSITY DRIVE C
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City | PITTSBURGH
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State | PA
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Zip | 15240
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Country | US
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Telephone | 412-360-2863
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD-044908-E
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License Number State | PA
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