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General NPI Number Information
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NPI Number | 1881884062
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Entity Type | Individual
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Provider Name | MAGGIE GREEN AA
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Gender | Female
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Dates
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Enumeration Date | 07/25/2007
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 1600 SW ARCHER RD
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City | GAINESVILLE
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State | FL
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Zip | 32610-3003
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Country | US
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Telephone | 352-265-0011
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Fax |
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Provider Business Mailing Address
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Address Line | 3605 WARRENSVILLE CENTER ROAD 1ST FLOOR
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City | SHAKER HTS
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State | OH
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Zip | 44122
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Country | US
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Telephone | 216-286-6260
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Fax | 216-286-6341
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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 | 367H00000X
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Taxonomy Name | Anesthesiologist Assistant
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License Number | 67.000136
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 367H00000X
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Taxonomy Name | Anesthesiologist Assistant
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License Number | 1559
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 367H00000X
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Taxonomy Name | Anesthesiologist Assistant
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License Number | AA505
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License Number State | FL
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