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General NPI Number Information
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NPI Number | 1366868135
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Entity Type | Organization
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Legal Business Name | HEARTLAND INFUSION
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Dates
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Enumeration Date | 03/17/2014
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 9943 KINGSTON PIKE
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City | KNOXVILLE
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State | TN
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Zip | 37922
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Country | US
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Telephone | 865-909-9713
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Fax |
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Provider Business Mailing Address
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Address Line | 9943 KINGSTON PIKE
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City | KNOXVILLE
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State | TN
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Zip | 37922-6923
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Country | US
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Telephone | 865-909-9713
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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. WILLIAM SEIBELS
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Credential |
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Telephone | 818-731-9903
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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 | 0000005363
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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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 | 0000005363
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License Number State | TN
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