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General NPI Number Information
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NPI Number | 1447847280
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Entity Type | Organization
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Legal Business Name | ALIGN INFUSION CLINIC INC
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Dates
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Enumeration Date | 12/28/2020
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Last Update Date | 10/04/2021
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Provider Practice Location Address
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Address Line | 3926 BARRON ST STE C200A
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City | METAIRIE
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State | LA
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Zip | 70002-5797
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Country | US
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Telephone | 504-582-9300
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Fax | 504-582-9301
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Provider Business Mailing Address
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Address Line | 3926 BARRON ST STE C200A
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City | METAIRIE
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State | LA
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Zip | 70002-5797
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DOO
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Name | DARVIS KEON HARVEY
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Credential | PHARMD
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Telephone | 504-957-6784
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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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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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