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General NPI Number Information
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NPI Number | 1073263265
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Entity Type | Organization
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Legal Business Name | INFUSEWELL, LLC
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Dates
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Enumeration Date | 03/28/2022
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Last Update Date | 05/10/2023
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Provider Practice Location Address
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Address Line | 6330 SUNSET DR STE 100
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4836
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Country | US
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Telephone | 305-927-1000
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Fax | 305-306-3420
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Provider Business Mailing Address
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Address Line | 6330 SUNSET DR STE 100
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4836
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Country | US
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Telephone | 305-927-1000
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Fax | 305-306-3420
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | PHILIP WEBER
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Credential |
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Telephone | 786-340-2533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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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 | 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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