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General NPI Number Information
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NPI Number | 1235084922
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Entity Type | Organization
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Legal Business Name | IVY LEE INFUSION LLC
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Dates
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Enumeration Date | 02/27/2026
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Last Update Date | 02/27/2026
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Provider Practice Location Address
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Address Line | 39219 CRAWFORDSVILLE DR
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City | SWEET HOME
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State | OR
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Zip | 97386-9638
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Country | US
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Telephone | 541-401-4435
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 44
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City | SCIO
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State | OR
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Zip | 97374-0044
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Country | US
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Telephone | 541-401-4435
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGING MEMBER
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Name | MS. KELLI LEE WHITE
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Credential | RN CRNI
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Telephone | 541-401-0407
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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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