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General NPI Number Information
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NPI Number | 1487278313
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Entity Type | Individual
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Provider Name | CHARLES W BASCOM III NP
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Gender | Male
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Dates
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Enumeration Date | 06/06/2020
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Last Update Date | 06/22/2020
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Provider Practice Location Address
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Address Line | 2120 W INA RD
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City | TUCSON
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State | AZ
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Zip | 85741-2694
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Country | US
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Telephone | 520-395-0471
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Fax |
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Provider Business Mailing Address
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Address Line | 2600 W INA RD APT 197
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City | TUCSON
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State | AZ
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Zip | 85741-2347
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 241529
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License Number State | AZ
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