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General NPI Number Information
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NPI Number | 1144750571
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Entity Type | Individual
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Provider Name | BASIL SOHAIL BANGASH
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Gender | Male
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Dates
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Enumeration Date | 06/18/2017
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 1601 FAIR RD STE 600
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City | STATESBORO
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State | GA
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Zip | 30458-0800
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Country | US
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Telephone | 912-681-4911
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Fax | 912-681-6911
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Provider Business Mailing Address
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Address Line | PO BOX 689022
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City | FRANKLIN
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State | TN
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Zip | 37068-9022
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Country | US
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Telephone | 615-465-7211
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Fax | 615-628-6877
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 98357
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA10893900
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 98357
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License Number State | GA
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