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General NPI Number Information
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NPI Number | 1487389904
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Entity Type | Organization
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Legal Business Name | INFUCARE RX HEALTH LLC
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Dates
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Enumeration Date | 07/19/2022
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Last Update Date | 09/15/2022
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Provider Practice Location Address
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Address Line | 121 PROGRESS AVE STE 120
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City | POTTSVILLE
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State | PA
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Zip | 17901-2968
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Country | US
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Telephone | 877-828-3940
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Fax | 877-828-3941
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Provider Business Mailing Address
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Address Line | PO BOX 2578
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City | SECAUCUS
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State | NJ
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Zip | 07096-2578
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Country | US
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Telephone | 877-828-3940
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Fax | 877-828-3941
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. DHARA PATEL
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Credential |
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Telephone | 877-828-3940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health 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 | 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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