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General NPI Number Information
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NPI Number | 1932109667
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Entity Type | Organization
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Legal Business Name | XINIM CORPORATION
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Dates
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Enumeration Date | 07/22/2005
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Last Update Date | 04/19/2021
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Provider Practice Location Address
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Address Line | 1702 RIDGEWOOD AVE SUITE A - G
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City | HOLLY HILL
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State | FL
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Zip | 32117-5416
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Country | US
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Telephone | 386-677-7377
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Fax | 386-677-0739
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Provider Business Mailing Address
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Address Line | 1702 RIDGEWOOD AVE SUITE C
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City | HOLLY HILL
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State | FL
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Zip | 32117-5416
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Country | US
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Telephone | 386-677-7377
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Fax | 386-677-0739
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Authorized Official
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Title or Position | DPT
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Name | THOMAS HILL
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Credential | PHARMD
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Telephone | 386-677-7377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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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 | 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 #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 299994706
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | PH9050
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | PH9050
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | PH9050
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number | PH9050
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License Number State |
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Taxonomy #8
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PH 9050
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License Number State | FL
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