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General NPI Number Information
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NPI Number | 1578901518
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Entity Type | Organization
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Legal Business Name | BLUE RIDGE INTEGRATIVE HEALTH, PC
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Dates
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Enumeration Date | 06/12/2013
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Last Update Date | 06/12/2013
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Provider Practice Location Address
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Address Line | 610 STATE FARM RD SUITE B
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City | BOONE
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State | NC
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Zip | 28607-4738
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Country | US
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Telephone | 828-265-8668
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Fax |
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Provider Business Mailing Address
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Address Line | 610 STATE FARM RD SUITE B
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City | BOONE
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State | NC
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Zip | 28607-4738
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL HOILIEN
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Credential | D,O,
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Telephone | 828-265-8668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 9801675
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License Number State | NC
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