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General NPI Number Information
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NPI Number | 1073279774
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Entity Type | Organization
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Legal Business Name | HEALTHY INFUSIONS, LLC
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Dates
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Enumeration Date | 11/17/2021
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Last Update Date | 11/17/2021
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Provider Practice Location Address
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Address Line | 15485 SOFTWOOD CT
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City | WELLINGTON
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State | FL
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Zip | 33414-9021
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Country | US
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Telephone | 561-201-4782
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Fax |
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Provider Business Mailing Address
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Address Line | 982 WHITE CLOUD DR STE 756
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City | MORGAN HILL
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State | CA
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Zip | 95037-6071
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Country | US
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Telephone | 561-201-4782
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LEILA ETIENNE
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Credential |
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Telephone | 561-201-4782
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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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