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General NPI Number Information
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NPI Number | 1639390321
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Entity Type | Individual
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Provider Name | ROCKY EVAN BACELIERI MD
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Gender | Male
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 09/03/2019
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Provider Practice Location Address
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Address Line | 281 MCDOWELL ST
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City | ASHEVILLE
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State | NC
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Zip | 28803-2606
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Country | US
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Telephone | 828-252-5676
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Fax |
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Provider Business Mailing Address
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Address Line | 281 MCDOWELL ST
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City | ASHEVILLE
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State | NC
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Zip | 28803-2606
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Country | US
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Telephone | 828-252-5676
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 30683
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207ND0900X
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Taxonomy Name | Dermatopathology Physician
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License Number | 30683
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 207ND0900X
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Taxonomy Name | Dermatopathology Physician
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License Number | 2010-00859
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 2010-00859
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License Number State | NC
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