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General NPI Number Information
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NPI Number | 1811789746
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Entity Type | Organization
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Legal Business Name | MOBILE INFUSION RN LLC
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Dates
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Enumeration Date | 05/19/2025
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 332 AVE BSW 200-31
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City | WINTER HAVEN
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State | FL
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Zip | 33880
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Country | US
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Telephone | 407-837-2613
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Fax | 407-887-9521
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Provider Business Mailing Address
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Address Line | 332 AVE BSW 200-31
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City | WINTER HAVEN
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State | FL
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Zip | 33880
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Country | US
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Telephone | 407-837-2613
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Fax | 407-887-9521
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Authorized Official
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Title or Position | OWNER, CEO
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Name | MR. JOSEPH R RENFORT JR.
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Credential | RN
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Telephone | 407-837-2613
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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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