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General NPI Number Information
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NPI Number | 1639050206
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Entity Type | Organization
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Legal Business Name | L M BASS LLC
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Dates
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Enumeration Date | 09/10/2025
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 809 N JEFFERSON ST
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City | DUBLIN
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State | GA
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Zip | 31021-6305
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Country | US
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Telephone | 478-272-8086
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Fax | 478-274-1171
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Provider Business Mailing Address
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Address Line | 809 N JEFFERSON ST
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City | DUBLIN
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State | GA
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Zip | 31021-6305
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Country | US
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Telephone | 478-272-8086
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Fax | 478-274-1171
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | JOHN ALAN PURSER
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Credential |
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Telephone | 478-272-8086
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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