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General NPI Number Information
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NPI Number | 1265472955
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Entity Type | Organization
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Legal Business Name | INFUSION CARE, LLC
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 10/01/2010
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Provider Practice Location Address
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Address Line | 8625 KING GEORGE DR SUITE 300
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City | DALLAS
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State | TX
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Zip | 75235-2215
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Country | US
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Telephone | 972-226-0700
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Fax | 972-226-0709
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Provider Business Mailing Address
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Address Line | 8625 KING GEORGE DR SUITE 300
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City | DALLAS
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State | TX
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Zip | 75235-2215
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Country | US
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Telephone | 972-226-0700
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Fax | 972-226-0709
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MS. DANA W. SOPER
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Credential | RPH, MBA
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Telephone | 513-891-6666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number | 26005
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License Number State | TX
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