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General NPI Number Information
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NPI Number | 1316257058
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Entity Type | Organization
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Legal Business Name | AFFINITY BIOTECH, INC.
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Dates
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Enumeration Date | 10/15/2010
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Last Update Date | 10/15/2010
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Provider Practice Location Address
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Address Line | 11303 CHIMNEY ROCK RD STE. 105
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City | HOUSTON
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State | TX
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Zip | 77035-2901
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Country | US
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Telephone | 713-551-2087
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Fax | 888-805-3450
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Provider Business Mailing Address
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Address Line | 1001 E 101ST TER STE. 240
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City | KANSAS CITY
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State | MO
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Zip | 64131-3367
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Country | US
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Telephone | 816-994-3652
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Fax | 816-994-2551
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. THOMAS O'NEILL
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Credential |
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Telephone | 816-994-3652
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number | 26845
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License Number State | TX
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