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General NPI Number Information
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NPI Number | 1366545675
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Entity Type | Individual
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Provider Name | BASEM ABDEEN MD
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Gender | Male
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 10010 KENNERLY RD 3 SOUTHBRIDGE
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City | SAINT LOUIS
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State | MO
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Zip | 63128-2106
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Country | US
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Telephone | 314-525-1328
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Fax | 314-525-1378
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Provider Business Mailing Address
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Address Line | 11511 SHADOW CREEK PKWY
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City | PEARLAND
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State | TX
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Zip | 77584-7298
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Country | US
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Telephone | 713-442-0000
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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 | 2007018065
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | T9614
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | T9614
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 2007018065
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License Number State | MO
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