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General NPI Number Information
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NPI Number | 1700793361
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Entity Type | Individual
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Provider Name | ALESSANDRA BAZEMORE RN
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Gender | Female
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Dates
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Enumeration Date | 08/27/2026
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Last Update Date | 08/27/2026
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Provider Practice Location Address
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Address Line | 1000 W BROAD ST
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City | RICHMOND
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State | VA
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Zip | 23284-9047
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Country | US
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Telephone | 804-828-2647
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Fax |
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Provider Business Mailing Address
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Address Line | 8067 MEADOW DR
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City | MECHANICSVILLE
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State | VA
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Zip | 23111-3509
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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 |
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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 | 163WP0218X
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Taxonomy Name | Pediatric Oncology Registered Nurse
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License Number | 0001296409
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License Number State | VA
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