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General NPI Number Information
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NPI Number | 1629250402
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Entity Type | Organization
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Legal Business Name | RXSYS INC
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Dates
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Enumeration Date | 12/03/2007
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Last Update Date | 12/03/2007
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Provider Practice Location Address
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Address Line | 3000 N BROOKFIELD RD
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City | BROOKFIELD
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State | WI
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Zip | 53045-3023
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Country | US
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Telephone | 262-786-2772
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Fax | 262-786-8364
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Provider Business Mailing Address
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Address Line | 3000 N BROOKFIELD RD
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City | BROOKFIELD
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State | WI
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Zip | 53045-3023
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Country | US
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Telephone | 262-786-2772
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Fax | 262-786-8364
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERT WIERICHS
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Credential | R.PH.
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Telephone | 262-786-2772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number | 7089-42
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License Number State | WI
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