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NPI 1184622318

NPI 1184622318 : ALL HOME INFUSION INC : BULLARD, TX

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General NPI Number Information
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    NPI Number           |    1184622318
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALL HOME INFUSION INC 
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Dates
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    Enumeration Date     |    07/12/2005
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    Last Update Date     |    09/14/2023
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Provider Practice Location Address
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    Address Line         |    16541 FM 344 W 
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    City                 |    BULLARD
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    State                |    TX
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    Zip                  |    75757-9551
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    Country              |    US
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    Telephone            |    903-825-7011
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    Fax                  |    903-825-7017
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Provider Business Mailing Address
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    Address Line         |    5380 OLD BULLARD RD STE 600-328 
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    City                 |    TYLER
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    State                |    TX
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    Zip                  |    75703-3607
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    Country              |    US
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    Telephone            |    903-825-7011
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    Fax                  |    903-825-7017
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     LAURA  GEORGE 
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    Credential           |    
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    Telephone            |    903-825-7011
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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       |    19651
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    332BP3500X
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    Taxonomy Name        |    Parenteral & Enteral Nutrition Supplies (DME)
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    License Number       |    19651
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    License Number State |    TX
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Taxonomy #3
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    Taxonomy Code        |    333600000X
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    Taxonomy Name        |    Pharmacy
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    License Number       |    19651
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    License Number State |    TX
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Taxonomy #4
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    Taxonomy Code        |    3336H0001X
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    Taxonomy Name        |    Home Infusion Therapy Pharmacy
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    License Number       |    19651
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    License Number State |    TX
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