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General NPI Number Information
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NPI Number | 1265692479
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Entity Type | Individual
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Provider Name | BASEL RAMLAWI M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/11/2008
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Last Update Date | 11/11/2022
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Provider Practice Location Address
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Address Line | 100 E LANCASTER AVE STE 356
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City | WYNNEWOOD
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State | PA
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Zip | 19096-3433
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Country | US
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Telephone | 281-979-1780
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Fax |
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Provider Business Mailing Address
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Address Line | 100 E LANCASTER AVE STE 356
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City | WYNNEWOOD
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State | PA
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Zip | 19096-3433
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Country | US
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Telephone | 281-979-1780
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 003072
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | N4690
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 0101259359
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License Number State | VA
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