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General NPI Number Information
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NPI Number | 1033231378
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Entity Type | Organization
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Legal Business Name | CENTER FOR ADVANCED INFUSION
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 13000 MURPHY RD STE 120
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City | STAFFORD
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State | TX
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Zip | 77477-3970
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Country | US
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Telephone | 281-313-0449
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Fax | 713-981-7774
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Provider Business Mailing Address
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Address Line | 13000 MURPHY RD STE 120
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City | STAFFORD
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State | TX
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Zip | 77477-3970
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Country | US
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Telephone | 281-313-0449
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Fax | 713-981-7774
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. JOE KIMBLE
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Credential |
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Telephone | 281-313-0449
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number | H5209
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License Number State | TX
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