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General NPI Number Information
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NPI Number | 1558382275
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Entity Type | Individual
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Provider Name | DONALD JOSEPH PELZ B.S.
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Gender | Male
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 01/18/2017
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Provider Practice Location Address
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Address Line | 684 N BROAD ST
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City | BREVARD
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State | NC
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Zip | 28712-3176
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Country | US
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Telephone | 828-883-2358
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Fax | 828-883-9576
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Provider Business Mailing Address
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Address Line | 229 HAYWOOD KNOLLS DR
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City | HENDERSONVILLE
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State | NC
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Zip | 28791-8717
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Country | US
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Telephone | 828-891-9934
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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 | 12009
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 12009
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License Number State | NC
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