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General NPI Number Information
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NPI Number | 1275134801
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Entity Type | Individual
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Provider Name | ABRAM JAMES BASINGER FNP
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Gender | Male
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Dates
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Enumeration Date | 11/02/2020
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Last Update Date | 01/25/2024
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Provider Practice Location Address
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Address Line | 1174 E HOME RD
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City | SPRINGFIELD
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State | OH
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Zip | 45503-2726
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Country | US
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Telephone | 937-398-0354
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Fax | 937-398-0358
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Provider Business Mailing Address
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Address Line | 3956 SPARKHILL DR
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City | ENON
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State | OH
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Zip | 45323-1436
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Country | US
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Telephone | 567-208-2239
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.0027702
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License Number State | OH
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