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General NPI Number Information
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NPI Number | 1538861398
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Entity Type | Organization
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Legal Business Name | VDNR INFUSION SERVICES LLC
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Dates
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Enumeration Date | 03/17/2023
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Last Update Date | 10/16/2023
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Provider Practice Location Address
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Address Line | 821 N EUTAW ST STE 305
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City | BALTIMORE
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State | MD
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Zip | 21201-6303
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Country | US
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Telephone | 443-914-3454
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Fax | 443-810-2134
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Provider Business Mailing Address
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Address Line | 5126 HONEY LOCUST CT
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City | ELLICOTT CITY
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State | MD
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Zip | 21042-6017
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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 | PHARMACIST
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Name | RAJESHWER REDDY PINGILI
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Credential | RPH
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Telephone | 443-914-3454
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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