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NPI 1659719623

NPI 1659719623 : AMERICARE INFUSION CENTERS, LLC : LEWISVILLE, TX

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General NPI Number Information
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    NPI Number           |    1659719623
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    Entity Type          |    Organization 
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    Legal Business Name  |    AMERICARE INFUSION CENTERS, LLC 
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Dates
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    Enumeration Date     |    06/11/2013
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    Last Update Date     |    06/14/2016
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Provider Practice Location Address
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    Address Line         |    2790 LAKE VISTA DR SUITE 100
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    City                 |    LEWISVILLE
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    State                |    TX
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    Zip                  |    75067-3884
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    Country              |    US
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    Telephone            |    972-661-2273
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    Fax                  |    866-292-6489
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Provider Business Mailing Address
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    Address Line         |    2790 LAKE VISTA DR SUITE 100
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    City                 |    LEWISVILLE
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    State                |    TX
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    Zip                  |    75067-3884
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    Country              |    US
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    Telephone            |    972-661-2273
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    Fax                  |    866-292-6489
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    MR. MICHAEL GENE SWAYDEN 
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    Credential           |    RPH
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    Telephone            |    940-435-8068
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QI0500X
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    Taxonomy Name        |    Infusion Therapy Clinic/Center
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    License Number       |    
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    License Number State |    NULL
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