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General NPI Number Information
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NPI Number | 1891706610
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Entity Type | Organization
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Legal Business Name | HOME HEALTH INFUSION, INC.
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 145 E RENO AVE STE E8
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City | LAS VEGAS
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State | NV
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Zip | 89119-1114
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Country | US
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Telephone | 702-254-7100
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Fax | 702-254-9016
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Provider Business Mailing Address
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Address Line | 145 E RENO AVE STE E8
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City | LAS VEGAS
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State | NV
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Zip | 89119-1114
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Country | US
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Telephone | 702-254-7100
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Fax | 702-254-9016
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | BRADLEY G LAST
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Credential |
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Telephone | 435-673-8666
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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 | PH01083
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License Number State | NV
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