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General NPI Number Information
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NPI Number | 1164845582
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Entity Type | Organization
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Legal Business Name | OUTPATIENT INFUSION SYSTEMS, INC
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Dates
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Enumeration Date | 01/22/2014
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Last Update Date | 10/16/2018
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Provider Practice Location Address
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Address Line | 8726 N ROYAL LN
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City | IRVING
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State | TX
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Zip | 75063-2589
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Country | US
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Telephone | 972-506-9100
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Fax | 972-506-0300
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Provider Business Mailing Address
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Address Line | 800 TECHNOLOGY CENTER DR
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City | STOUGHTON
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State | MA
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Zip | 02072-4721
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Country | US
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Telephone | 972-506-9100
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Fax | 972-506-0300
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Authorized Official
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Title or Position | VP AND SECRETARY
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Name | MICHELE LAU
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Credential |
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Telephone | 415-893-8457
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 1001211
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License Number State | TX
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