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General NPI Number Information
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NPI Number | 1760202592
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Entity Type | Organization
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Legal Business Name | ENRICHED DRIP, LLC
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Dates
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Enumeration Date | 10/16/2024
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 1169 BALLYSHANNON PKWY
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City | ORLANDO
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State | FL
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Zip | 32828-8685
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Country | US
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Telephone | 585-317-3914
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Fax |
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Provider Business Mailing Address
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Address Line | 1169 BALLYSHANNON PKWY
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City | ORLANDO
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State | FL
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Zip | 32828-8685
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Country | US
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Telephone | 585-317-3914
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. EMMA SANDI
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Credential | APRN
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Telephone | 585-317-3914
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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 | NULL
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Taxonomy #2
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State | NULL
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