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General NPI Number Information
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NPI Number | 1396323465
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Entity Type | Organization
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Legal Business Name | POINTE WEST INFECTIOUS DISEASES P L
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Dates
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Enumeration Date | 03/31/2021
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Last Update Date | 03/31/2021
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Provider Practice Location Address
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Address Line | 6010 POINTE WEST BLVD
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City | BRADENTON
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State | FL
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Zip | 34209-5531
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Country | US
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Telephone | 941-746-2711
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Fax | 941-746-3433
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Provider Business Mailing Address
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Address Line | 901 MCCLINTOCK DR STE 202
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City | BURR RIDGE
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State | IL
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Zip | 60527-0872
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Country | US
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Telephone | 630-655-7280
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Fax | 630-734-4685
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Authorized Official
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Title or Position | HR
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Name | TARA KOWALSKI
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Credential |
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Telephone | 630-655-7290
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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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