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General NPI Number Information
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NPI Number | 1457943516
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Entity Type | Organization
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Legal Business Name | INFUSE WELLNESS PLLC
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Dates
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Enumeration Date | 02/09/2021
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Last Update Date | 02/09/2021
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Provider Practice Location Address
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Address Line | 8700 EMERALD DR STE 24
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City | EMERALD ISLE
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State | NC
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Zip | 28594-7002
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Country | US
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Telephone | 252-354-2333
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Fax | 252-354-2422
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Provider Business Mailing Address
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Address Line | 139 SUNSET DR
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City | CEDAR POINT
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State | NC
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Zip | 28584-9303
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Country | US
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Telephone | 252-354-2333
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HEATHER PEARCE-SHEW
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Credential | CRNA
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Telephone | 252-764-0140
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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