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General NPI Number Information
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NPI Number | 1003996877
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Entity Type | Individual
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Provider Name | MICHAEL AUSTIN BAZLEY PHARMD
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Gender | Male
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 10/01/2016
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Provider Practice Location Address
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Address Line | 125 BLEACHERY BLVD
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City | ASHEVILLE
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State | NC
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Zip | 28805-8209
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Country | US
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Telephone | 828-298-8182
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1612
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City | ASHEVILLE
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State | NC
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Zip | 28802-1612
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Country | US
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Telephone | 828-367-6881
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 17773
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License Number State | NC
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