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General NPI Number Information
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NPI Number | 1952709511
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Entity Type | Organization
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Legal Business Name | A. GREEN HEALTH CORP
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Dates
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Enumeration Date | 12/15/2014
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Last Update Date | 12/15/2014
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Provider Practice Location Address
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Address Line | 5061 SW 94TH CT
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City | MIAMI
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State | FL
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Zip | 33165-6425
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Country | US
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Telephone | 305-801-4949
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Fax |
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Provider Business Mailing Address
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Address Line | 5061 SW 94TH CT
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City | MIAMI
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State | FL
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Zip | 33165-6425
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Country | US
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Telephone | 305-801-4949
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Fax |
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | MRS. AIMEE JANELLE GREEN
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Credential | MSN, ARNP, FNP-BC
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Telephone | 305-801-4949
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | ARNP9259490
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License Number State | FL
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