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General NPI Number Information
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NPI Number | 1942838875
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Entity Type | Individual
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Provider Name | DR. JOHN ALVIN GREEN III
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Gender | Male
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Dates
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Enumeration Date | 03/27/2020
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 75 S UNIVERSITY BLVD
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City | MOBILE
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State | AL
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Zip | 36608-3271
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Country | US
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Telephone | 251-471-7870
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Fax | 251-460-7923
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Provider Business Mailing Address
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Address Line | PO BOX 21595
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City | BELFAST
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State | ME
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Zip | 04915-4112
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Country | US
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Telephone | 251-318-2678
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Fax | 251-405-9900
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2783
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 2738
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License Number State | AL
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