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General NPI Number Information
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NPI Number | 1093125759
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Entity Type | Individual
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Provider Name | BRUCE DANIEL BASSI M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/04/2014
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 18 BARTOL ST STE 1275
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City | SAN FRANCISCO
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State | CA
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Zip | 94133-4501
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Country | US
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Telephone | 888-730-5220
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Fax | 888-524-8166
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Provider Business Mailing Address
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Address Line | 1820 STATE ROAD 13 N STE 11-926
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City | ST JOHNS
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State | FL
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Zip | 32259-8856
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Country | US
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Telephone | 888-730-5220
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Fax | 888-524-8166
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 2463
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | T2322
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 308362
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME129546
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 160634
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 036.145663
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License Number State | IL
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