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General NPI Number Information
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NPI Number | 1023726130
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Entity Type | Individual
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Provider Name | NICHOLAS RONALD BLANCHARD PHARMD
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Gender | Male
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Dates
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Enumeration Date | 11/08/2022
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Last Update Date | 11/08/2022
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Provider Practice Location Address
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Address Line | 3051 NEW BERN AVE
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City | RALEIGH
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State | NC
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Zip | 27610-1214
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Country | US
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Telephone | 919-231-8511
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Fax |
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Provider Business Mailing Address
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Address Line | 1418 MORDECAI DR
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City | RALEIGH
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State | NC
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Zip | 27604-1320
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Country | US
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Telephone | 410-202-9292
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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 | 9571
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License Number State | NC
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