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General NPI Number Information
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NPI Number | 1710224670
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Entity Type | Organization
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Legal Business Name | INFUSION CARE OF DELAWARE , HOME DIVISION, LLC
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Dates
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Enumeration Date | 01/12/2013
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Last Update Date | 01/12/2013
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Provider Practice Location Address
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Address Line | 9 N HAMPSHIRE CT
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City | GREENVILLE
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State | DE
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Zip | 19807-2535
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Country | US
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Telephone | 302-423-2511
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Fax | 302-993-1391
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Provider Business Mailing Address
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Address Line | 9 N HAMPSHIRE CT
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City | GREENVILLE
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State | DE
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Zip | 19807-2535
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Country | US
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Telephone | 302-423-2511
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Fax | 302-993-1391
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Authorized Official
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Title or Position | CO-FOUNDER, CHIEF OPERATING OFFICER
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Name | SHARON YVETTE BURTON-YOUNG
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Credential | RN
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Telephone | 302-423-2511
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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 | L10019326
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License Number State | DE
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