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General NPI Number Information
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NPI Number | 1598847386
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Entity Type | Organization
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Legal Business Name | INFUSION TECHNOLOGIES INC
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 05/25/2010
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Provider Practice Location Address
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Address Line | 5803 BRECKENRIDGE PKWY STE.A
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City | TAMPA
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State | FL
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Zip | 33610-4247
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Country | US
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Telephone | 813-514-1676
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Fax | 813-514-1677
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Provider Business Mailing Address
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Address Line | 820 NE 126TH ST
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City | NORTH MIAMI
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State | FL
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Zip | 33161-4906
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Country | US
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Telephone | 305-887-9335
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Fax | 305-883-8869
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSE SOTOMAYOR
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Credential |
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Telephone | 305-887-9335
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number | PH18257
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License Number State | FL
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