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General NPI Number Information
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NPI Number | 1366110413
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Entity Type | Organization
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Legal Business Name | ABML-IEM, LLC
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Dates
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Enumeration Date | 09/02/2021
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Last Update Date | 09/02/2021
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Provider Practice Location Address
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Address Line | 565 E HILLSBORO BLVD
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City | DEERFIELD BEACH
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State | FL
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Zip | 33441-3543
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Country | US
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Telephone | 954-725-6992
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Fax | 954-725-6991
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Provider Business Mailing Address
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Address Line | 565 E HILLSBORO BLVD
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City | DEERFIELD BEACH
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State | FL
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Zip | 33441-3543
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Country | US
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Telephone | 954-725-6992
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Fax | 954-725-6991
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Authorized Official
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Title or Position | AUTHORIZED REPRESENTATIVE
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Name | MS. BRITTANY PERKINS CASTILLO
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Credential |
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Telephone | 954-519-7966
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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