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General NPI Number Information
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NPI Number | 1174785265
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Entity Type | Organization
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Legal Business Name | ARTHUR BASHAM MD
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Dates
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Enumeration Date | 06/30/2008
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Last Update Date | 06/30/2008
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Provider Practice Location Address
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Address Line | 212 OAK MEADOW DR
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City | LOS GATOS
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State | CA
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Zip | 95032-4407
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Country | US
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Telephone | 408-354-4740
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Fax | 408-354-8161
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Provider Business Mailing Address
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Address Line | 212 OAK MEADOW DR
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City | LOS GATOS
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State | CA
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Zip | 95032-4407
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Country | US
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Telephone | 408-354-4740
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Fax | 408-354-8161
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Authorized Official
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Title or Position | OPHTHALMOLOGY
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Name | DR. ARTHUR BASHAM
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Credential | M.D.
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Telephone | 408-354-4740
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | G39527
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License Number State | CA
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