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General NPI Number Information
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NPI Number | 1124733480
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Entity Type | Organization
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Legal Business Name | CONTINUUM HEALTH AIC INC
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Dates
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Enumeration Date | 01/20/2023
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 4115 PLEASANT VALLEY RD # 200A
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City | CHANTILLY
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State | VA
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Zip | 20151-1220
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Country | US
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Telephone | 800-665-2850
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Fax | 833-271-9979
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Provider Business Mailing Address
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Address Line | PO BOX 661308
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City | DALLAS
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State | TX
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Zip | 75266-1308
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Country | US
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Telephone | 800-665-2850
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Fax | 833-271-9979
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Authorized Official
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Title or Position | COO
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Name | CHRIS VAN RAAM
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Credential |
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Telephone | 205-703-6760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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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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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #4
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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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Taxonomy #5
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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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