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General NPI Number Information
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NPI Number | 1699485458
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Entity Type | Organization
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Legal Business Name | IVCARE INFUSION LLC
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Dates
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Enumeration Date | 12/01/2022
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 710 NASHVILLE PIKE STE 103
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City | GALLATIN
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State | TN
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Zip | 37066-4592
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Country | US
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Telephone | 571-315-9906
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Fax |
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Provider Business Mailing Address
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Address Line | 710 NASHVILLE PIKE STE 103
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City | GALLATIN
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State | TN
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Zip | 37066-4592
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Country | US
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Telephone | 615-471-8673
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Fax | 615-471-8674
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Authorized Official
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Title or Position | PRESIDENT
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Name | JEOBU PETER
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Credential | BPHARM, MPHARM, D.PH
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Telephone | 615-461-7078
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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