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General NPI Number Information
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NPI Number | 1235426271
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Entity Type | Individual
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Provider Name | DR. BASIL NWAOZ
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Gender | Male
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Dates
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Enumeration Date | 06/28/2011
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 570 SYLVAN AVE
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City | ENGLEWOOD CLIFFS
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State | NJ
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Zip | 07632-3132
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Country | US
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Telephone | 617-637-5946
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Fax |
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Provider Business Mailing Address
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Address Line | 1159 AVALON SQ
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City | GLEN COVE
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State | NY
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Zip | 11542-2845
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Country | US
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Telephone |
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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 | 2086S0105X
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Taxonomy Name | Surgery of the Hand (Surgery) Physician
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License Number | 25MA11260100
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License Number State | NJ
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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 | 25MA11260100
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License Number State | NJ
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