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General NPI Number Information
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NPI Number | 1104665785
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Entity Type | Organization
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Legal Business Name | BASMA CARE LLC
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Dates
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Enumeration Date | 05/22/2024
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 2917 INTERNATIONAL LN STE 101
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City | MADISON
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State | WI
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Zip | 53704-3100
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Country | US
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Telephone | 608-665-0897
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Fax |
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Provider Business Mailing Address
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Address Line | 2917 INTERNATIONAL LN STE 101
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City | MADISON
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State | WI
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Zip | 53704-3100
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Country | US
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Telephone | 608-556-5281
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Fax |
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | ABDIQADIR A MOHAMED
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Credential | ADC#0021062
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Telephone | 608-665-0897
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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