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General NPI Number Information
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NPI Number | 1568746626
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Entity Type | Organization
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Legal Business Name | IMENET
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Dates
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Enumeration Date | 10/06/2011
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Last Update Date | 10/06/2011
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Provider Practice Location Address
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Address Line | 2107 VAN NESS AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-2529
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Country | US
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Telephone | 415-531-7851
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 591181
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City | SAN FRANCISCO
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State | CA
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Zip | 94159
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Country | US
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Telephone | 415-531-7851
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. FELIX LEVY
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Credential | RN
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Telephone | 415-531-7851
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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