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General NPI Number Information
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NPI Number | 1912207127
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Entity Type | Individual
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Provider Name | RICHARD LEE BARTHOLOMEW R.PH.
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Gender | Male
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Dates
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Enumeration Date | 10/22/2010
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Last Update Date | 10/22/2010
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Provider Practice Location Address
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Address Line | 22 COURTYARD LN
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City | BARBOURSVILLE
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State | WV
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Zip | 25504-1015
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Country | US
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Telephone | 304-412-2557
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Fax | 304-733-9503
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Provider Business Mailing Address
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Address Line | 22 COURTYARD LN
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City | BARBOURSVILLE
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State | WV
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Zip | 25504-1015
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Country | US
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Telephone | 304-412-2557
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Fax | 304-733-9503
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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 | 2739
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03309637
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 010211
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 09475
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH.6633 PH
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License Number State | SC
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