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General NPI Number Information
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NPI Number | 1215258678
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Entity Type | Organization
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Legal Business Name | RX NUTRITIONAL SOLUTIONS, LLC
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Dates
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Enumeration Date | 06/18/2010
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Last Update Date | 04/23/2012
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Provider Practice Location Address
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Address Line | 8040 CASTLEWAY DRIVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46250-1915
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Country | US
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Telephone | 317-863-6320
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Fax |
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Provider Business Mailing Address
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Address Line | 8040 CASTLEWAY DRIVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46250-1915
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Country | US
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Telephone | 317-863-6320
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JOSEPH DEL SIGNORE
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Credential |
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Telephone | 310-779-8849
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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 | 60006226A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number | 60006226A
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License Number State | IN
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