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NPI 1528254307

NPI 1528254307 : ROBERT ERIC REITZEL R.PH. : ASHEVILLE, NC

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General NPI Number Information
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    NPI Number           |    1528254307
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    Entity Type          |    Individual 
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    Provider Name        |    ROBERT ERIC REITZEL R.PH.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/14/2007
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    Last Update Date     |    09/14/2007
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Provider Practice Location Address
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    Address Line         |    301 WHITE PINE DR 
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    City                 |    ASHEVILLE
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    State                |    NC
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    Zip                  |    28805-2206
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    Country              |    US
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    Telephone            |    775-287-9104
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    301 WHITE PINE DR 
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    City                 |    ASHEVILLE
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    State                |    NC
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    Zip                  |    28805-2206
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    Country              |    US
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    Telephone            |    775-287-9104
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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       |    19157
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    14430
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    License Number State |    CO
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Taxonomy #3
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    15079
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    License Number State |    NV
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Taxonomy #4
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    53968
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    License Number State |    CA
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