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General NPI Number Information
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NPI Number | 1033779947
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Entity Type | Organization
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Legal Business Name | TOTAL INFUSION, INC.
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Dates
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Enumeration Date | 06/13/2019
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Last Update Date | 01/12/2022
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Provider Practice Location Address
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Address Line | 6955 FOOTHILL BLVD # 67A
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City | OAKLAND
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State | CA
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Zip | 94605-2455
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Country | US
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Telephone | 419-699-7164
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Fax |
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Provider Business Mailing Address
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Address Line | 6955 FOOTHILL BLVD STE 67A
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City | OAKLAND
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State | CA
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Zip | 94605-2455
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Country | US
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Telephone | 510-878-9528
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Fax | 510-969-5840
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Authorized Official
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Title or Position | DIRECTOR, INFUSION THERAPY
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Name | LAKEETA SHEERIE CONTI
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Credential | RN
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Telephone | 510-878-9528
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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 |
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License Number State |
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