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General NPI Number Information
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NPI Number | 1336286384
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Entity Type | Organization
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Legal Business Name | NBN INFUSIONS INC
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 09/08/2010
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Provider Practice Location Address
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Address Line | 2 PIN OAK LN UNIT 250
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City | CHERRY HILL
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State | NJ
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Zip | 08003-1630
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Country | US
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Telephone | 856-669-0217
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Fax | 856-424-8913
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Provider Business Mailing Address
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Address Line | 2 PIN OAK LN UNIT 250
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City | CHERRY HILL
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State | NJ
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Zip | 08003-1632
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Country | US
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Telephone | 856-669-0217
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Fax | 856-424-8913
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Authorized Official
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Title or Position | COO
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Name | MR. JOSEPH KARL BOETTCHER JR.
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Credential |
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Telephone | 856-669-0217
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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 | NJ
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 28R500454200
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number | 28R500454200
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License Number State | NJ
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