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General NPI Number Information
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NPI Number | 1932045606
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Entity Type | Individual
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Provider Name | MONICA GREENE DHA, RN, BSN, MLT
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Gender | Female
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Dates
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Enumeration Date | 04/27/2026
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Last Update Date | 04/27/2026
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Provider Practice Location Address
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Address Line | 1907 BENTON RD STE 500
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City | BOSSIER CITY
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State | LA
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Zip | 71111-4195
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Country | US
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Telephone | 318-304-8151
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Fax | 318-304-8152
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Provider Business Mailing Address
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Address Line | 1907 BENTON RD STE 500
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City | BOSSIER CITY
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State | LA
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Zip | 71111-4195
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Country | US
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Telephone | 318-304-8151
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Fax | 318-304-8152
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 233756
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 156F00000X
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Taxonomy Name | Technician/Technologist
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License Number | CLP.201635-TCH
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License Number State | LA
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