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NPI 1508681065

NPI 1508681065 : PROMPTCARE HOME INFUSION, LLC : MADISONVILLE, LA

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General NPI Number Information
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    NPI Number           |    1508681065
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    Entity Type          |    Organization 
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    Legal Business Name  |    PROMPTCARE HOME INFUSION, LLC 
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Dates
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    Enumeration Date     |    11/20/2024
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    Last Update Date     |    10/01/2025
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Provider Practice Location Address
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    Address Line         |    1922 HIGHWAY 22 W STE D 
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    City                 |    MADISONVILLE
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    State                |    LA
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    Zip                  |    70447-9490
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    Country              |    US
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    Telephone            |    833-285-5500
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    Fax                  |    985-792-9004
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Provider Business Mailing Address
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    Address Line         |    41 SPRING ST STE 103B 
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    City                 |    NEW PROVIDENCE
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    State                |    NJ
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    Zip                  |    07974-1143
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    Country              |    US
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    Telephone            |    866-776-6782
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CHIEF COMPLIANCE OFFICER
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    Name                 |     STEPHEN ALAN LARIVIERE 
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    Credential           |    
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    Telephone            |    502-676-2318
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3336S0011X
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    Taxonomy Name        |    Specialty Pharmacy
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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        |    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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