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General NPI Number Information
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NPI Number | 1215757273
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Entity Type | Individual
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Provider Name | NASON WISE
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Gender | Male
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Dates
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Enumeration Date | 10/15/2024
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 1236 HUFFMAN MILL RD STE 2850
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City | BURLINGTON
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State | NC
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Zip | 27215-8700
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Country | US
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Telephone | 336-538-7482
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Fax | 336-538-7291
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Provider Business Mailing Address
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Address Line | 1236 HUFFMAN MILL RD STE 2850
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City | BURLINGTON
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State | NC
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Zip | 27215-8700
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Country | US
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Telephone | 336-538-7482
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Fax | 336-538-7291
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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 | 1835C0206X
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Taxonomy Name | Cardiology Pharmacist
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License Number | 31482
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 700555
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License Number State | NC
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