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General NPI Number Information
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NPI Number | 1104117092
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Entity Type | Individual
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Provider Name | TAL S BASH M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/26/2011
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Last Update Date | 12/05/2022
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Provider Practice Location Address
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Address Line | 730 COOL SPRINGS BLVD STE 800
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City | FRANKLIN
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State | TN
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Zip | 37067-4641
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Country | US
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Telephone | 615-468-4000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 98
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City | RIDGEWOOD
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State | NJ
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Zip | 07451-0098
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Country | US
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Telephone |
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD449191
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 25MA08889500
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License Number State | NJ
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