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General NPI Number Information
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NPI Number | 1477553857
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Entity Type | Individual
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Provider Name | ROBERT GENE BASS JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/27/2005
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Last Update Date | 10/13/2023
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Provider Practice Location Address
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Address Line | 5670 VERBENA RD
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City | SAN ANTONIO
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State | TX
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Zip | 78240-1719
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Country | US
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Telephone | 210-817-4746
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Fax | 210-817-4750
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Provider Business Mailing Address
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Address Line | 1202 E SONTERRA BLVD SUITE 701
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City | SAN ANTONIO
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State | TX
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Zip | 78258-4089
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Country | US
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Telephone | 210-404-2650
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | J7749
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License Number State | TX
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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 | J7749
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License Number State | TX
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