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General NPI Number Information
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NPI Number | 1891478954
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Entity Type | Organization
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Legal Business Name | NURSING INFUSION CENTERS OF AMERICA A PROFESSIONAL NURSING CORPORATION
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Dates
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Enumeration Date | 08/07/2023
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Last Update Date | 08/18/2023
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Provider Practice Location Address
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Address Line | 4254 GREEN RIVER RD
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City | CORONA
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State | CA
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Zip | 92878-3869
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Country | US
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Telephone | 866-936-0550
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Fax | 866-936-5079
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Provider Business Mailing Address
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Address Line | 4254 GREEN RIVER RD STE 103
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City | CORONA
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State | CA
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Zip | 92878-3869
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Country | US
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Telephone | 866-936-0550
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Fax | 866-936-5079
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Authorized Official
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Title or Position | PRESIDENT
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Name | KENYA DION MILLS
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Credential | FNP-C
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Telephone | 866-936-0550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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