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General NPI Number Information
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NPI Number | 1427845155
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Entity Type | Organization
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Legal Business Name | EAZY IV, LLC
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Dates
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Enumeration Date | 04/24/2025
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 62 E FRANKLIN ST
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City | CENTERVILLE
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State | OH
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Zip | 45459-5914
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Country | US
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Telephone | 937-918-3299
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Fax | 937-619-8340
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Provider Business Mailing Address
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Address Line | 62 E FRANKLIN ST
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City | CENTERVILLE
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State | OH
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Zip | 45459-5914
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Country | US
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Telephone | 937-918-3299
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Fax | 937-619-8340
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Authorized Official
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Title or Position | OWNER
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Name | BRITTANY KAFKA
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Credential | APRN, FNP-BC
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Telephone | 937-918-3299
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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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