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General NPI Number Information
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NPI Number | 1336626381
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Entity Type | Individual
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Provider Name | ANASUYA BASIL NC, DIPL. ABT, CST
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Gender | Female
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Dates
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Enumeration Date | 07/23/2018
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Last Update Date | 07/23/2018
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Provider Practice Location Address
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Address Line | 10 WILLIAMSBURG LN STE B
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City | CHICO
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State | CA
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Zip | 95926-2297
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Country | US
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Telephone | 510-848-8439
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 609
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City | FOREST RANCH
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State | CA
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Zip | 95942-0609
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Country | US
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Telephone | 510-848-8439
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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 | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number |
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License Number State |
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