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General NPI Number Information
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NPI Number | 1609731892
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Entity Type | Organization
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Legal Business Name | BLADEN HEALTHCARE LLC
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Dates
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Enumeration Date | 12/19/2025
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 102 S MAIN ST
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City | BLADENBORO
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State | NC
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Zip | 28320-8430
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Country | US
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Telephone | 910-863-3949
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Fax | 910-863-3940
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Provider Business Mailing Address
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Address Line | 102 S MAIN ST
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City | BLADENBORO
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State | NC
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Zip | 28320-8430
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Country | US
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Telephone | 910-863-3949
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Fax | 910-863-3940
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Authorized Official
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Title or Position | VP OF REV CYCLE AND MANAGED CARE
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Name | JOSEPH BART FISER
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Credential |
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Telephone | 910-615-5572
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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