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General NPI Number Information
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NPI Number | 1518706860
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Entity Type | Individual
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Provider Name | DR. LAUREN RENE BASHLOR
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Gender | Female
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Dates
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Enumeration Date | 05/24/2024
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Last Update Date | 05/24/2024
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Provider Practice Location Address
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Address Line | 465 LEE HWY
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City | VERONA
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State | VA
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Zip | 24482-2571
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Country | US
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Telephone | 540-248-0307
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Fax | 540-248-1436
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Provider Business Mailing Address
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Address Line | 29 ABBEY CT
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City | FISHERSVILLE
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State | VA
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Zip | 22939-2156
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Country | US
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Telephone | 540-330-6255
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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 | 0202221534
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License Number State | VA
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