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General NPI Number Information
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NPI Number | 1235174954
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Entity Type | Organization
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Legal Business Name | INFUSION PLUS INC.
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Dates
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Enumeration Date | 06/17/2006
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Last Update Date | 10/15/2008
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Provider Practice Location Address
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Address Line | 545 W TAFT DR
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City | SOUTH HOLLAND
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State | IL
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Zip | 60473-2030
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Country | US
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Telephone | 708-333-8301
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Fax | 708-333-8895
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Provider Business Mailing Address
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Address Line | 430 GREENBRIAR DR
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City | CRETE
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State | IL
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Zip | 60417-1113
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Country | US
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Telephone | 516-459-1577
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Fax | 516-459-1577
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Authorized Official
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Title or Position | OWNER
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Name | MR. JIMMY ALEXANDER
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Credential |
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Telephone | 516-459-1577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number | 054014944
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License Number State | IL
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