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General NPI Number Information
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NPI Number | 1851260822
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Entity Type | Organization
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Legal Business Name | GREEN CARE CENTER LLC
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Dates
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Enumeration Date | 10/30/2025
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 4112 77TH ST
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City | ELMHURST
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State | NY
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Zip | 11373-1996
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Country | US
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Telephone | 718-873-6893
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Fax |
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Provider Business Mailing Address
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Address Line | 4112 77TH ST
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City | ELMHURST
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State | NY
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Zip | 11373-1996
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Country | US
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Telephone | 718-873-6893
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | MRS. NAWSHIN JAMIL
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Credential | DO
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Telephone | 718-873-6893
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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