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General NPI Number Information
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NPI Number | 1619451671
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Entity Type | Organization
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Legal Business Name | INFINITY PRIVATE CARE
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Dates
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Enumeration Date | 09/17/2018
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 1900 DUNBARTON DR STE H
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City | JACKSON
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State | MS
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Zip | 39216-5034
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Country | US
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Telephone | 601-914-9919
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 12402
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City | JACKSON
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State | MS
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Zip | 39236-2402
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KRISTEN FIELDS
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Credential | RN
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Telephone | 601-914-0904
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health 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 | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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