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General NPI Number Information
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NPI Number | 1861357907
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Entity Type | Organization
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Legal Business Name | GREENTECHCONCEPTS
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Dates
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Enumeration Date | 12/22/2025
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 2401 W BELVEDERE AVE
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City | BALTIMORE
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State | MD
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Zip | 21215-5216
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Country | US
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Telephone | 313-966-3300
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Fax |
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Provider Business Mailing Address
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Address Line | 385 PINE CREEK CT
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City | WATERFORD
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State | MI
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Zip | 48327-1586
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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 | INTERN
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Name | JOSEPH HUTCHENS
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Credential |
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Telephone | 248-241-1522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 405300000X
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Taxonomy Name | Prevention Professional
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License Number |
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License Number State |
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