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General NPI Number Information
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NPI Number | 1285795591
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Entity Type | Organization
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Legal Business Name | INFUSAL PARTNERS
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 14328 COMMERCE WAY
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City | MIAMI LAKES
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State | FL
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Zip | 33016-1501
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Country | US
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Telephone | 305-362-5599
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Fax |
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Provider Business Mailing Address
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Address Line | 14328 COMMERCE WAY
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City | MIAMI LAKES
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State | FL
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Zip | 33016-1501
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Country | US
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Telephone | 305-362-5599
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MR. STEPHEN PHENNEGER
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Credential |
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Telephone | 847-855-6910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number |
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | PH14063
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State | FL
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Taxonomy #5
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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 | FL
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Taxonomy #6
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number |
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License Number State |
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