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General NPI Number Information
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NPI Number | 1750580353
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Entity Type | Organization
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Legal Business Name | PICC LINES PLUS LLC
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Dates
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Enumeration Date | 07/13/2007
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Last Update Date | 08/27/2024
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Provider Practice Location Address
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Address Line | 300 BUSINESS PARK WAY STE A-1
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-1756
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Country | US
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Telephone | 561-736-5161
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Fax | 561-736-7683
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Provider Business Mailing Address
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Address Line | 300 BUSINESS PARK WAY STE A-1
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-1756
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Country | US
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Telephone | 561-736-5161
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Fax | 561-736-7683
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Authorized Official
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Title or Position | CHIEF COMPLIANCE OFFICER
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Name | STEPHEN A LARIVIERE
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Credential |
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Telephone | 866-776-6782
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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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 | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number | PH23271
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License Number State | FL
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