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General NPI Number Information
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NPI Number | 1811990047
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Entity Type | Organization
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Legal Business Name | NBN INFUSIONS INC
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 02/27/2017
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Provider Practice Location Address
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Address Line | 2 PIN OAK LN UNIT 250
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City | CHERRY HILL
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State | NJ
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Zip | 08003-1632
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Country | US
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Telephone | 856-669-0217
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Fax | 856-520-8067
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Provider Business Mailing Address
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Address Line | 2 PIN OAK LN UNIT 250
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City | CHERRY HILL
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State | NJ
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Zip | 08003-1632
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Country | US
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Telephone | 856-669-0217
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Fax | 856-520-8067
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Authorized Official
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Title or Position | COO
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Name | JOSEPH BOETTCHER
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Credential | RPH
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Telephone | 856-669-0217
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy 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 | 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 #3
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 28RS00454200
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License Number State | NJ
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