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General NPI Number Information
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NPI Number | 1831792548
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Entity Type | Organization
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Legal Business Name | INFUSION IV THERAPY LTD
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Dates
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Enumeration Date | 11/17/2020
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Last Update Date | 04/28/2021
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Provider Practice Location Address
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Address Line | 1228 8TH ST
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City | GREELEY
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State | CO
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Zip | 80631-3216
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Country | US
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Telephone | 720-338-7691
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Fax |
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Provider Business Mailing Address
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Address Line | 1228 8TH ST
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City | GREELEY
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State | CO
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Zip | 80631-3216
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Country | US
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Telephone | 720-338-7691
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MRS. SHEREE MONTOYA
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Credential | FNP
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Telephone | 720-338-7691
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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