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General NPI Number Information
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NPI Number | 1558361758
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Entity Type | Organization
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Legal Business Name | VISITING NURSE ADVANCED INFUSION SYSTEMS - ANAHEIM
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Dates
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Enumeration Date | 07/28/2005
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Last Update Date | 11/15/2007
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Provider Practice Location Address
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Address Line | 3822 E LA PALMA AVE
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City | ANAHEIM
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State | CA
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Zip | 92807-1713
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Country | US
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Telephone | 714-533-7400
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Fax | 714-535-3098
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Provider Business Mailing Address
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Address Line | 3822 E LA PALMA AVE
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City | ANAHEIM
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State | CA
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Zip | 92807-1713
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Country | US
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Telephone | 714-533-7400
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Fax | 714-535-3098
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MR. ROBERT BARANY
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Credential |
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Telephone | 714-533-7400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | PHY46733
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License Number State | CA
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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 | PHY46733
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License Number State | CA
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