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General NPI Number Information
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NPI Number | 1831715929
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Entity Type | Organization
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Legal Business Name | INFUSION SOLUTIONS LLC
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Dates
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Enumeration Date | 06/24/2020
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Last Update Date | 01/21/2021
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Provider Practice Location Address
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Address Line | 7110 FOREST AVE STE 203
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City | RICHMOND
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State | VA
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Zip | 23226-3762
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Country | US
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Telephone | 804-895-7374
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Fax |
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Provider Business Mailing Address
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Address Line | 7110 FOREST AVE STE 203
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City | RICHMOND
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State | VA
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Zip | 23226-3762
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | LUCIEN ROBERTS
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Credential |
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Telephone | 804-839-3852
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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