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General NPI Number Information
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NPI Number | 1194084327
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Entity Type | Individual
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Provider Name | DENIZ SELDA BASCI M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/08/2012
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Last Update Date | 09/05/2018
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Provider Practice Location Address
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Address Line | UT SOUTHWESTERN MEDICAL CTR 1801 INWOOD ROAD - WA4.224
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City | DALLAS
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State | TX
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Zip | 75390
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Country | US
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Telephone | 214-645-3104
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Fax |
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Provider Business Mailing Address
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Address Line | 3223 LEMMON AVE APT 4120
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City | DALLAS
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State | TX
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Zip | 75204-1849
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Country | US
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Telephone | 301-919-5235
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | BP10044390
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | BP10044390
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | R6972
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License Number State | TX
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