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General NPI Number Information
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NPI Number | 1730284175
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Entity Type | Organization
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Legal Business Name | MRE MEDICAL INFUSION, INC.
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1551 BISHOP ST SUITE 230
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-4635
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Country | US
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Telephone | 805-434-2353
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Fax | 805-545-8854
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Provider Business Mailing Address
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Address Line | 1551 BISHOP ST SUITE 230
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-4635
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Country | US
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Telephone | 805-434-2353
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Fax | 805-545-8854
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BARRY EIBSCHUTZ
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Credential | M.D.
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Telephone | 805-434-2353
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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 |
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