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General NPI Number Information
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NPI Number | 1467481945
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Entity Type | Individual
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Provider Name | LAWRENCE ADRIAN BASS MD
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Gender | Male
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Dates
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Enumeration Date | 06/30/2006
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Last Update Date | 08/10/2021
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Provider Practice Location Address
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Address Line | 930 3RD ST
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City | GREENSBORO
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State | NC
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Zip | 27405-6967
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Country | US
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Telephone | 336-890-3200
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Fax |
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Provider Business Mailing Address
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Address Line | 1701 WESTCHESTER DR STE 850
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City | HIGH POINT
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State | NC
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Zip | 27262-7008
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Country | US
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Telephone | 336-802-2536
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Fax | 336-802-2534
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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 | 0101237868
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 200400186
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License Number State | NC
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