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General NPI Number Information
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NPI Number | 1619213162
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Entity Type | Organization
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Legal Business Name | INFINITE CARE DEVELOPMENT, LLC
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Dates
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Enumeration Date | 01/02/2013
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Last Update Date | 01/02/2013
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Provider Practice Location Address
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Address Line | 28248 N TATUM BLVD STE B4
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City | CAVE CREEK
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State | AZ
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Zip | 85331-6343
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Country | US
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Telephone | 520-275-1345
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Fax |
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Provider Business Mailing Address
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Address Line | 19401 N 73RD LN
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City | GLENDALE
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State | AZ
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Zip | 85308-5617
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Country | US
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Telephone | 520-275-1345
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. GUY BAKER
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Credential | PHARMD
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Telephone | 520-275-1345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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