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General NPI Number Information
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NPI Number | 1346526845
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Entity Type | Organization
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Legal Business Name | INFUSION CONNECTIONS PHARMACY SERVICES INC
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Dates
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Enumeration Date | 10/27/2011
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Last Update Date | 11/24/2014
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Provider Practice Location Address
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Address Line | 3216 SANTA MONICA BLVD STE A
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City | SANTA MONICA
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State | CA
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Zip | 90404-2606
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Country | US
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Telephone | 310-828-3690
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Fax | 310-828-3697
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Provider Business Mailing Address
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Address Line | 3216 SANTA MONICA BLVD STE A
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City | SANTA MONICA
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State | CA
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Zip | 90404-2606
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Country | US
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Telephone | 310-828-3690
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Fax | 310-828-3697
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | JAMES TSUNODA
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Credential |
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Telephone | 310-828-3690
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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 | PHY50785
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License Number State | CA
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