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NPI 1003379108

NPI 1003379108 : INFUSION EXPRESS OF TENNESSEE, PC : HENDERSONVILLE, TN

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General NPI Number Information
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    NPI Number           |    1003379108
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    Entity Type          |    Organization 
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    Legal Business Name  |    INFUSION EXPRESS OF TENNESSEE, PC 
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Dates
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    Enumeration Date     |    04/08/2019
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    Last Update Date     |    03/28/2025
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Provider Practice Location Address
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    Address Line         |    1006 GLENBROOK WAY STE 130
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    City                 |    HENDERSONVILLE
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    State                |    TN
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    Zip                  |    37075
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    Country              |    US
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    Telephone            |    913-948-2020
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    Fax                  |    844-627-2518
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Provider Business Mailing Address
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    Address Line         |    PO BOX 7514 
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    City                 |    CAROL STREAM
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    State                |    IL
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    Zip                  |    60197-7514
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    Country              |    US
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    Telephone            |    615-510-6002
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    Fax                  |    844-627-2518
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Authorized Official
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    Title or Position    |    CFO
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    Name                 |     WILLIAM  SEIBELS 
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    Credential           |    
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    Telephone            |    615-610-3727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261Q00000X
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    Taxonomy Name        |    Clinic/Center
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    License Number       |    
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    License Number State |    
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