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General NPI Number Information
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NPI Number | 1275136335
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Entity Type | Organization
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Legal Business Name | SPECIALTY INFUSIONS NURSING CARE
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Dates
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Enumeration Date | 11/19/2020
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Last Update Date | 11/19/2020
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Provider Practice Location Address
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Address Line | 222 E MAIN ST STE 216
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City | BARSTOW
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State | CA
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Zip | 92311-2366
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Country | US
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Telephone | 442-295-9102
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Fax | 833-245-1164
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Provider Business Mailing Address
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Address Line | 14664 MARIGOLD RD
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City | ORO GRANDE
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State | CA
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Zip | 92368-9553
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Country | US
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Telephone | 619-438-5264
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Fax | 833-945-1164
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Authorized Official
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Title or Position | CEO
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Name | NANCY CASTLEMAN
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Credential | RN
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Telephone | 442-295-9102
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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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