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General NPI Number Information
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NPI Number | 1790385557
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Entity Type | Individual
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Provider Name | ERIN KRISTEN BASILE PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/29/2020
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Last Update Date | 10/29/2020
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Provider Practice Location Address
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Address Line | 5045 UNIVERSITY TOWN CENTRE DR
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City | MORGANTOWN
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State | WV
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Zip | 26501-2267
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Country | US
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Telephone | 304-598-2931
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Fax | 304-598-3020
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Provider Business Mailing Address
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Address Line | 119 CANTIS HILLTOP VILLAS
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City | MORGANTOWN
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State | WV
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Zip | 26508-3975
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Country | US
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Telephone | 859-940-7197
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP0007724
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License Number State | WV
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