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General NPI Number Information
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NPI Number | 1235694506
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Entity Type | Organization
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Legal Business Name | PRESTIGE INFUSIONS LLC
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Dates
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Enumeration Date | 01/31/2019
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Last Update Date | 04/07/2023
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Provider Practice Location Address
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Address Line | 116 BOONTON AVE
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City | KINNELON
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State | NJ
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Zip | 07405-2910
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Country | US
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Telephone | 914-906-4004
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Fax | 973-909-4540
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Provider Business Mailing Address
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Address Line | 6601 LYONS RD STE L6
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City | COCONUT CREEK
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State | FL
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Zip | 33073-3639
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Country | US
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Telephone | 561-212-3816
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Fax | 973-909-4540
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Authorized Official
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Title or Position | ADMIN
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Name | AYSHA AHMED
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Credential |
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Telephone | 973-653-8844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State | NULL
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Taxonomy #2
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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 | NULL
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Taxonomy #3
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Taxonomy Code | 163WI0500X
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Taxonomy Name | Infusion Therapy Registered Nurse
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License Number |
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License Number State | NULL
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