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General NPI Number Information
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NPI Number | 1972347300
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Entity Type | Organization
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Legal Business Name | VIVE INFUSIONS NURSING, INC.
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Dates
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Enumeration Date | 06/20/2024
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Last Update Date | 06/20/2024
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Provider Practice Location Address
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Address Line | 3037 BRYANT PL
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City | DAVIS
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State | CA
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Zip | 95618-1613
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Country | US
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Telephone | 916-340-5959
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Fax |
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Provider Business Mailing Address
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Address Line | 2173 OAKMONT ST
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City | SACRAMENTO
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State | CA
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Zip | 95815-3815
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Country | US
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Telephone | 916-340-5959
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Fax |
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Authorized Official
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Title or Position | CEO/RN
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Name | ARIANA CALDERON
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Credential | RN
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Telephone | 916-340-5959
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health 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 | 251J00000X
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Taxonomy Name | Nursing Care Agency
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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