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General NPI Number Information
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NPI Number | 1982247557
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Entity Type | Organization
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Legal Business Name | INTRATHECAL LOGISTICS AND SOLUTIONS LLC
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Dates
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Enumeration Date | 10/25/2019
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Last Update Date | 11/14/2019
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Provider Practice Location Address
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Address Line | 7493 N ORACLE RD STE 130
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City | TUCSON
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State | AZ
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Zip | 85704-6355
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Country | US
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Telephone | 520-307-3331
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Fax |
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Provider Business Mailing Address
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Address Line | 7493 N ORACLE RD STE 130
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City | TUCSON
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State | AZ
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Zip | 85704-6355
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Country | US
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Telephone | 520-307-3331
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LUIS A BARRERA
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Credential |
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Telephone | 520-307-3331
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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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