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General NPI Number Information
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NPI Number | 1568696623
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Entity Type | Organization
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Legal Business Name | AMBULATORY INFUSION SPECIALIST, LLC.
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Dates
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Enumeration Date | 05/05/2009
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Last Update Date | 05/05/2009
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Provider Practice Location Address
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Address Line | 1332 N FEDERAL HWY
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City | POMPANO BEACH
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State | FL
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Zip | 33062-3730
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Country | US
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Telephone | 866-778-8255
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Fax | 866-398-2988
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Provider Business Mailing Address
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Address Line | 1332 N FEDERAL HWY
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City | POMPANO BEACH
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State | FL
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Zip | 33062-3730
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Country | US
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Telephone | 866-778-8255
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Fax | 866-398-2988
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MRS. CATHY ANN BRUMBAUGH
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Credential | CMS
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Telephone | 866-778-8255
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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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