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General NPI Number Information
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NPI Number | 1467434878
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Entity Type | Individual
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Provider Name | HAROLD F. BASKIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/20/2005
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Last Update Date | 04/22/2009
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Provider Practice Location Address
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Address Line | 1010 LEAD AVE SE SUITE 2
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-5214
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Country | US
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Telephone | 505-843-6181
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Fax | 505-242-7783
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Provider Business Mailing Address
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Address Line | 1010 LEAD AVE SE SUITE 2
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-5214
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Country | US
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Telephone | 505-843-6181
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Fax | 505-242-7783
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 78-111
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License Number State | NM
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