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General NPI Number Information
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NPI Number | 1023945367
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Entity Type | Individual
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Provider Name | BASEL S DIAB DO
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Gender | Male
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Dates
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Enumeration Date | 05/08/2026
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Last Update Date | 05/08/2026
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Provider Practice Location Address
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Address Line | 29000 CENTER RIDGE RD
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City | WESTLAKE
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State | OH
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Zip | 44145-5219
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Country | US
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Telephone | 440-827-2921
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Fax |
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Provider Business Mailing Address
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Address Line | 4098 DRYDEN DR
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City | NORTH OLMSTED
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State | OH
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Zip | 44070-1928
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Country | US
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Telephone | 216-269-1570
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 58.035844
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License Number State | OH
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