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General NPI Number Information
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NPI Number | 1386515591
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Entity Type | Organization
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Legal Business Name | VITAL INFUSION OASIS, LLC
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Dates
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Enumeration Date | 09/12/2025
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 601 N CONGRESS AVE STE 431
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City | DELRAY BEACH
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State | FL
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Zip | 33445-4641
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Country | US
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Telephone | 561-956-2747
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Fax |
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Provider Business Mailing Address
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Address Line | 601 N CONGRESS AVE STE 431
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City | DELRAY BEACH
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State | FL
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Zip | 33445-4641
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Country | US
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Telephone | 561-956-2747
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO/DIRECTOR
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Name | FRANCETTE KETTY CICERON
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Credential | MSN, RN
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Telephone | 561-414-5511
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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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