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NPI 1750645479

NPI 1750645479 : COMPLETE INFUSION SERVICES LLC : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1750645479
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    Entity Type          |    Organization 
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    Legal Business Name  |    COMPLETE INFUSION SERVICES LLC 
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Dates
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    Enumeration Date     |    06/27/2012
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    Last Update Date     |    06/27/2012
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Provider Practice Location Address
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    Address Line         |    1051 PINELOCH DR SUITE 700
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77062-2742
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    Country              |    US
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    Telephone            |    281-280-8511
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    Fax                  |    281-280-9511
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Provider Business Mailing Address
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    Address Line         |    1051 PINELOCH DR SUITE 700
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77062-2742
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    Country              |    US
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    Telephone            |    281-280-8511
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    Fax                  |    281-280-9511
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |     KIM  WILLETTE 
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    Credential           |    
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    Telephone            |    281-280-8511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251F00000X
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    Taxonomy Name        |    Home Infusion Agency
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    License Number       |    
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    License Number State |    
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