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General NPI Number Information
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NPI Number | 1255239109
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Entity Type | Organization
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Legal Business Name | GREEN BEACON LLC
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Dates
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Enumeration Date | 10/29/2026
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Last Update Date | 10/29/2026
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Provider Practice Location Address
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Address Line | 35 COMMERCIAL ST
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City | BROOKLYN
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State | NY
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Zip | 11222-7931
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Country | US
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Telephone | 917-862-1201
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Fax |
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Provider Business Mailing Address
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Address Line | 35 COMMERCIAL ST
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City | BROOKLYN
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State | NY
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Zip | 11222-7931
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MENGYIN TONG
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Credential |
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Telephone | 917-862-1201
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2278E1000X
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Taxonomy Name | Educational Certified Respiratory Therapist
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License Number |
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License Number State |
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