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General NPI Number Information
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NPI Number | 1063369148
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Entity Type | Organization
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Legal Business Name | GREEN FIELD TRADING LLC
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Dates
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Enumeration Date | 03/16/2026
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Last Update Date | 03/16/2026
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Provider Practice Location Address
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Address Line | 6440 PAMELA LN APT 9
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City | CHICAGO RIDGE
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State | IL
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Zip | 60415-1860
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Country | US
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Telephone | 708-677-9286
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Fax |
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Provider Business Mailing Address
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Address Line | 6440 PAMELA LN APT 9
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City | CHICAGO RIDGE
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State | IL
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Zip | 60415-1860
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Country | US
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Telephone | 708-677-9286
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | OMAR ALBASIOMI
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Credential |
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Telephone | 708-677-9286
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number |
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License Number State |
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