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General NPI Number Information
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NPI Number | 1225971815
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Entity Type | Organization
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Legal Business Name | STELLAR INFUSIONS, LLC
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Dates
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Enumeration Date | 04/10/2026
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Last Update Date | 04/10/2026
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Provider Practice Location Address
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Address Line | 154 BROOKS ST SE UNIT 101
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City | FORT WALTON BEACH
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State | FL
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Zip | 32548-5887
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Country | US
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Telephone | 850-598-1042
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Fax |
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Provider Business Mailing Address
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Address Line | 1323 SE 17TH ST PMB 93310
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City | FORT LAUDERDALE
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State | FL
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Zip | 33316-1707
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ELIZABETH JOHNSON
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Credential |
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Telephone | 850-598-1042
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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 |
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License Number State |
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