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General NPI Number Information
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NPI Number | 1598586984
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Entity Type | Organization
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Legal Business Name | BROTHERS INFUSION CARE LLC
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Dates
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Enumeration Date | 10/18/2024
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 3625 NELSON RD STE B
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City | LAKE CHARLES
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State | LA
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Zip | 70605-1213
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Country | US
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Telephone | 877-264-8060
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Fax |
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Provider Business Mailing Address
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Address Line | 11705 SLATE AVE STE 200
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City | RIVERSIDE
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State | CA
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Zip | 92505-5199
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Country | US
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Telephone | 951-809-4011
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Fax |
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Authorized Official
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Title or Position | V.P. OF REIMBURSEMENT
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Name | JENNIFER ARNOLD
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Credential |
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Telephone | 951-809-4011
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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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