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General NPI Number Information
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NPI Number | 1578440095
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Entity Type | Organization
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Legal Business Name | INFUSED MOBILE IV & WELLNESS, LLC
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Dates
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Enumeration Date | 08/18/2025
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 20 S FOREST AVE
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City | LUVERNE
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State | AL
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Zip | 36049-1500
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Country | US
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Telephone | 334-304-0906
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Fax |
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Provider Business Mailing Address
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Address Line | 20 S FOREST AVE
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City | LUVERNE
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State | AL
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Zip | 36049-1500
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Country | US
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Telephone | 334-304-0906
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KRISTEN PAIGE BRADLEY
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Credential | RN
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Telephone | 334-304-0906
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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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