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General NPI Number Information
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NPI Number | 1811703044
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Entity Type | Organization
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Legal Business Name | SAN DIEGO INFUSION CENTER INC
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Dates
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Enumeration Date | 12/03/2024
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 9834 GENESEE AVE STE 310
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City | LA JOLLA
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State | CA
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Zip | 92037-1221
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Country | US
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Telephone | 858-457-8600
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Fax | 858-764-9765
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Provider Business Mailing Address
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Address Line | 9834 GENESEE AVE STE 310
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City | LA JOLLA
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State | CA
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Zip | 92037-1221
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Country | US
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Telephone | 858-457-8600
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Fax | 858-764-9765
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Authorized Official
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Title or Position | OWNER
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Name | HERMAN HOWARD MILLER II
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Credential |
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Telephone | 858-457-8600
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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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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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