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General NPI Number Information
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NPI Number | 1831495050
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Entity Type | Organization
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Legal Business Name | HEALTH INNOVATIONS, LP
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Dates
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Enumeration Date | 02/05/2011
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Last Update Date | 02/05/2011
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Provider Practice Location Address
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Address Line | 22455 MAPLE CT STE. 304
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City | HAYWARD
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State | CA
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Zip | 94541-4031
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Country | US
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Telephone | 925-478-7003
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Fax | 925-829-9979
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Provider Business Mailing Address
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Address Line | 11875 DUBLIN BLVD STE. D271
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City | DUBLIN
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State | CA
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Zip | 94568-2843
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Country | US
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Telephone | 925-478-7003
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Fax | 925-829-9979
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Authorized Official
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Title or Position | LABORATORY DIRECTOR
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Name | DR. KEVIN J BUCKMAN
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Credential | M.D.
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Telephone | 925-478-7003
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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 | A33983
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License Number State | CA
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