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General NPI Number Information
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NPI Number | 1043001332
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Entity Type | Organization
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Legal Business Name | BELLAVITA INFUSION SERVICES PLLC
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Dates
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Enumeration Date | 05/15/2025
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 16922 KYLER CREEK TRL
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City | HUMBLE
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State | TX
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Zip | 77346-5220
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Country | US
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Telephone | 832-674-3007
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Fax |
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Provider Business Mailing Address
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Address Line | 16922 KYLER CREEK TRL
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City | HUMBLE
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State | TX
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Zip | 77346-5220
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Country | US
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Telephone | 832-674-3007
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | BRENDA NICOLE ORDONEZ
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Credential | RN
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Telephone | 832-674-3007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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