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General NPI Number Information
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NPI Number | 1881065928
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Entity Type | Organization
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Legal Business Name | ASHEVILLE BUNCOMBE COMMUNITY CHRISTIAN MINISTRY, INC.
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Dates
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Enumeration Date | 10/15/2015
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Last Update Date | 10/15/2015
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Provider Practice Location Address
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Address Line | 356 BILTMORE AVE SUITE 205
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City | ASHEVILLE
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State | NC
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Zip | 28801-4504
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Country | US
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Telephone | 828-259-5306
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Fax | 828-259-5320
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Provider Business Mailing Address
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Address Line | 356 BILTMORE AVE SUITE 205
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City | ASHEVILLE
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State | NC
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Zip | 28801-4504
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Country | US
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Telephone | 828-259-5306
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Fax | 828-259-5320
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. SCOTT ROGERS
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Credential | MA
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Telephone | 828-259-5300
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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 | 1379
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License Number State | NC
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