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General NPI Number Information
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NPI Number | 1124263892
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Entity Type | Organization
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Legal Business Name | IMPERIAL INFUSIONS
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Dates
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Enumeration Date | 12/10/2008
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Last Update Date | 04/12/2010
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Provider Practice Location Address
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Address Line | 55 WIND RIDGE CIR
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City | SPRING
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State | TX
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Zip | 77381-6304
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Country | US
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Telephone | 405-413-9494
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 133333
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City | SPRING
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State | TX
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Zip | 77393-3333
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Country | US
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Telephone | 405-413-9494
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RAMA REDDY PALWAI
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Credential | MD
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Telephone | 405-413-9494
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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 | M1284
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License Number State | TX
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