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General NPI Number Information
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NPI Number | 1093734170
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Entity Type | Organization
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Legal Business Name | ON-CALL MED INFUSION INC
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 07/16/2007
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Provider Practice Location Address
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Address Line | 337 S CUMBERLAND ST SUITE C
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City | LEBANON
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State | TN
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Zip | 37087-3605
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Country | US
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Telephone | 615-449-6190
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Fax | 615-449-6280
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Provider Business Mailing Address
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Address Line | 337 S CUMBERLAND ST SUITE C
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City | LEBANON
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State | TN
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Zip | 37087-3605
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Country | US
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Telephone | 615-449-6190
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Fax | 615-449-6208
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | JAMIE JOHNSON
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Credential |
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Telephone | 615-449-6190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number | 0000003124
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License Number State | TN
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