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General NPI Number Information
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NPI Number | 1407438948
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Entity Type | Organization
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Legal Business Name | A&G INFUSION NURSING SERVICES INC.
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Dates
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Enumeration Date | 04/23/2021
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Last Update Date | 07/24/2023
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Provider Practice Location Address
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Address Line | 11271 SHOWDOWN LN
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City | MORENO VALLEY
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State | CA
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Zip | 92557-4816
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Country | US
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Telephone | 951-703-5766
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Fax | 951-379-1246
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Provider Business Mailing Address
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Address Line | 12625 FREDERICK ST STE E8
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City | MORENO VALLEY
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State | CA
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Zip | 92553-5253
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Country | US
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Telephone | 951-703-5766
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Fax | 714-733-7468
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. ANGELICA MARIA GONZALEZ
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Credential | REGISTERED NURSE
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Telephone | 951-703-5766
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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