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General NPI Number Information
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NPI Number | 1477196749
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Entity Type | Individual
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Provider Name | BASIM EL-TOUKHY DMD
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Gender | Male
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Dates
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Enumeration Date | 10/19/2019
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Last Update Date | 07/22/2020
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Provider Practice Location Address
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Address Line | 561 MONMOUTH RD
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City | WRIGHTSTOWN
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State | NJ
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Zip | 08562-2128
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Country | US
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Telephone | 609-758-2244
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Fax |
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Provider Business Mailing Address
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Address Line | 11 BETSY ROSS DR
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City | FREEHOLD
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State | NJ
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Zip | 07728-4222
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Country | US
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Telephone |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 22DI02779400
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 22DI02779401
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License Number State | NJ
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