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General NPI Number Information
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NPI Number | 1477520617
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Entity Type | Individual
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Provider Name | BASEM ALKURDI M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/07/2006
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Last Update Date | 01/13/2022
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Provider Practice Location Address
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Address Line | 409 BAYSHORE BLVD
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City | TAMPA
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State | FL
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Zip | 33606-2707
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Country | US
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Telephone | 813-844-5460
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Fax | 813-844-1655
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Provider Business Mailing Address
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Address Line | 1 TAMPA GENERAL CIR
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City | TAMPA
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State | FL
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Zip | 33606-3571
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Country | US
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Telephone | 813-844-5460
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Fax | 813-844-1655
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 00025596
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207RI0008X
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Taxonomy Name | Hepatology Physician
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License Number | ME128074
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License Number State | FL
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