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General NPI Number Information
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NPI Number | 1598864134
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Entity Type | Organization
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Legal Business Name | AMERITA, INC.
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 3775 CROSSINGS DR
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City | PRESCOTT
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State | AZ
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Zip | 86305-7138
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Country | US
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Telephone | 928-708-0025
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Fax | 928-708-0288
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Provider Business Mailing Address
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Address Line | PO BOX 223017
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City | PITTSBURGH
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State | PA
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Zip | 15251-2017
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Country | US
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Telephone | 800-477-7375
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Fax | 877-676-0493
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Authorized Official
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Title or Position | CFO
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Name | ALEXANDER LAWRENCE KATEN
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Credential |
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Telephone | 772-631-3140
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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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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | Y005977
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | Y005977
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License Number State | AZ
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Taxonomy #4
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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 #5
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Taxonomy Code | 335G00000X
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Taxonomy Name | Medical Foods Supplier
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number | Y005977
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License Number State | AZ
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