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General NPI Number Information
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NPI Number | 1932707619
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Entity Type | Organization
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Legal Business Name | IV THERAPY, PHLEBOTOMY, SPECIMEN COLLECTION SERVICES, LLC
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Dates
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Enumeration Date | 10/14/2020
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Last Update Date | 10/22/2020
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Provider Practice Location Address
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Address Line | 3845 CYPRESS CREEK PKWY STE 252
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City | HOUSTON
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State | TX
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Zip | 77068-3575
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Country | US
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Telephone | 214-293-7388
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Fax |
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Provider Business Mailing Address
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Address Line | 3845 CYPRESS CREEK PKWY STE 252
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City | HOUSTON
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State | TX
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Zip | 77068-3575
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Country | US
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Telephone | 214-293-7388
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PEARL N MILLER
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Credential |
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Telephone | 214-293-7388
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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 | 174200000X
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Taxonomy Name | Meals Provider
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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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 #5
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 331L00000X
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Taxonomy Name | Blood Bank
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 246RP1900X
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Taxonomy Name | Phlebotomy Technician
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License Number |
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License Number State |
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