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General NPI Number Information
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NPI Number | 1205744125
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Entity Type | Individual
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Provider Name | MR. JAMES ORAN BASINGER
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Gender | Male
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Dates
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Enumeration Date | 08/31/2026
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Last Update Date | 08/31/2026
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Provider Practice Location Address
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Address Line | 921 S 8TH AVE STOP 8288
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City | POCATELLO
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State | ID
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Zip | 83209-8288
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Country | US
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Telephone | 208-282-4597
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Fax |
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Provider Business Mailing Address
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Address Line | 735 S 19TH AVE
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City | POCATELLO
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State | ID
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Zip | 83201-3406
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Country | US
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Telephone | 208-252-5435
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | I75507
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License Number State | ID
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