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General NPI Number Information
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NPI Number | 1053115295
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Entity Type | Individual
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Provider Name | BASIRAT SPEECH
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Gender | Female
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Dates
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Enumeration Date | 04/04/2025
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Last Update Date | 04/06/2025
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Provider Practice Location Address
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Address Line | 823 TURTLE CREEK DR
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City | MISSOURI CITY
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State | TX
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Zip | 77489-5258
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Country | US
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Telephone | 832-279-0637
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Fax |
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Provider Business Mailing Address
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Address Line | 823 TURTLE CREEK DR
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City | MISSOURI CITY
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State | TX
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Zip | 77489-5258
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Country | US
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Telephone | 832-279-0637
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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 | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number | 692780
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 163WI0500X
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Taxonomy Name | Infusion Therapy Registered Nurse
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License Number | 692780
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License Number State | TX
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