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General NPI Number Information
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NPI Number | 1487986501
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Entity Type | Organization
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Legal Business Name | PINELOCH INFUSION CENTER INC
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Dates
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Enumeration Date | 02/01/2010
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Last Update Date | 02/01/2010
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Provider Practice Location Address
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Address Line | 1051 PINELOCH DR SUITE 700
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City | HOUSTON
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State | TX
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Zip | 77062-2742
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Country | US
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Telephone | 713-569-5440
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Fax |
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Provider Business Mailing Address
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Address Line | 1051 PINELOCH DR SUITE 700
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City | HOUSTON
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State | TX
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Zip | 77062-2742
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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 | CEO
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Name | JOHN VICKERS
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Credential |
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Telephone | 832-818-7756
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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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