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General NPI Number Information
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NPI Number | 1881881522
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Entity Type | Organization
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Legal Business Name | INFUSAL PARTNERS
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Dates
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Enumeration Date | 09/26/2007
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Last Update Date | 03/11/2009
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Provider Practice Location Address
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Address Line | 9655 FLORIDA MINING BLVD W BLDG 400, SUITES 410-411
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City | JACKSONVILLE
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State | FL
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Zip | 32257-2031
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Country | US
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Telephone | 904-861-2510
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Fax | 904-861-2525
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Provider Business Mailing Address
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Address Line | 39280 TREASURY CTR
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City | CHICAGO
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State | IL
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Zip | 60694-9000
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Country | US
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Telephone | 904-861-2510
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Fax | 904-861-2525
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Authorized Official
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Title or Position | VP, FIELD FINANCE
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Name | MR. MITCH FRIEDMAN
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Credential |
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Telephone | 847-855-6930
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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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