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General NPI Number Information
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NPI Number | 1720196470
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Entity Type | Organization
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Legal Business Name | INFUSACARE MEDICAL SERVICES,P.C.
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4811 BUCKLEY RD
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City | LIVERPOOL
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State | NY
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Zip | 13088-3629
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Country | US
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Telephone | 315-457-3091
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Fax | 315-457-4305
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Provider Business Mailing Address
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Address Line | 4811 BUCKLEY RD
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City | LIVERPOOL
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State | NY
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Zip | 13088-3629
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Country | US
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Telephone | 315-457-3091
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Fax | 315-457-4305
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. ROBERT ALBERT DRACKER
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Credential | M.D.
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Telephone | 315-457-3091
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZB0001X
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Taxonomy Name | Blood Banking & Transfusion Medicine Physician
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License Number | 155177-1
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License Number State | NY
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