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General NPI Number Information
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NPI Number | 1255691283
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Entity Type | Organization
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Legal Business Name | ADVANCED IV SOLUTIONS, LLC
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Dates
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Enumeration Date | 05/23/2012
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Last Update Date | 05/23/2012
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Provider Practice Location Address
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Address Line | 2370 RIDGE CREST DR NE
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City | LANESVILLE
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State | IN
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Zip | 47136-8102
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Country | US
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Telephone | 502-345-7262
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Fax | 812-952-4075
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Provider Business Mailing Address
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Address Line | 2370 RIDGE CREST DR NE
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City | LANESVILLE
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State | IN
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Zip | 47136-8102
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Country | US
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Telephone | 502-345-7262
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Fax | 812-952-4075
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CARY LEE BOBBITT
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Credential | RN
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Telephone | 502-345-7262
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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 |
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