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General NPI Number Information
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NPI Number | 1235124736
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Entity Type | Individual
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Provider Name | DONALD ROBERT BASSMAN MD
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Gender | Male
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Dates
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Enumeration Date | 09/12/2005
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Last Update Date | 08/01/2023
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Provider Practice Location Address
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Address Line | 845 N NEW BALLAS CT STE 200
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City | SAINT LOUIS
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State | MO
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Zip | 63141-7169
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Country | US
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Telephone | 314-475-3036
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Fax | 855-736-4151
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Provider Business Mailing Address
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Address Line | PO BOX 411221
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City | CREVE COEUR
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State | MO
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Zip | 63141-1221
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Country | US
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Telephone | 866-776-8150
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Fax | 314-621-7276
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State | MO
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