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General NPI Number Information
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NPI Number | 1598913972
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Entity Type | Organization
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Legal Business Name | ADVANTAGE MEDICAL INFUSION LLC
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Dates
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Enumeration Date | 08/28/2008
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Last Update Date | 04/11/2016
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Provider Practice Location Address
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Address Line | 5296 OLD HIGHWAY 11 SUITE 4
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City | HATTIESBURG
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State | MS
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Zip | 39402-8380
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Country | US
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Telephone | 601-450-0294
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Fax | 601-450-0295
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Provider Business Mailing Address
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Address Line | 5296 OLD HIGHWAY 11 SUITE4
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City | HATTIESBURG
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State | MS
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Zip | 39402-8380
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Country | US
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Telephone | 601-450-0294
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Fax | 601-450-0295
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Authorized Official
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Title or Position | OWNER
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Name | WILLIAM PIERCE
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Credential |
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Telephone | 601-408-1251
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | OSP.0006471
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 64001757A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | A9-0001509
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License Number State | DE
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Taxonomy #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 4365
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License Number State | IA
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Taxonomy #5
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | P06464
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License Number State | MD
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Taxonomy #6
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 22-44611
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License Number State | KS
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Taxonomy #7
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH28211
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License Number State | FL
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Taxonomy #8
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PCN.0002783
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License Number State | CT
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Taxonomy #9
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | MS1820
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License Number State | KY
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Taxonomy #10
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHY.006947-NR
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License Number State | LA
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Taxonomy #11
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 054.018796
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License Number State | IL
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Taxonomy #12
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 36488MS
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License Number State | ID
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Taxonomy #13
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | MO40001711
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License Number State | ME
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Taxonomy #14
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | NRP1545
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License Number State | CA
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Taxonomy #15
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 1471
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License Number State | AK
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