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General NPI Number Information
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NPI Number | 1447897921
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Entity Type | Organization
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Legal Business Name | PHARMACY HOME INFUSION NETWORK
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Dates
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Enumeration Date | 12/04/2019
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Last Update Date | 12/06/2019
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Provider Practice Location Address
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Address Line | 900 W GLENOAKS BLVD STE G
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City | GLENDALE
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State | CA
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Zip | 91202-2664
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Country | US
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Telephone | 818-294-2657
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Fax | 661-310-3848
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Provider Business Mailing Address
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Address Line | 900 W GLENOAKS BLVD STE G
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City | GLENDALE
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State | CA
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Zip | 91202-2664
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Country | US
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Telephone | 818-294-2657
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Fax | 661-310-3848
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Authorized Official
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Title or Position | ADMIN
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Name | GINGER JOHNSON
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Credential |
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Telephone | 818-294-2657
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number |
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License Number State |
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