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General NPI Number Information
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NPI Number | 1558045369
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Entity Type | Individual
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Provider Name | BASHEER ELSOLH MD MPH FRCSC
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Gender | Male
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Dates
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Enumeration Date | 06/12/2023
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 311 N CLYDE MORRIS BLVD STE 500
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-2768
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Country | US
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Telephone | 386-241-1081
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Fax | 352-627-4820
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Provider Business Mailing Address
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Address Line | 311 N CLYDE MORRIS BLVD STE 500
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-2768
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Country | US
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Telephone | 386-241-1081
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Fax | 352-627-4820
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ME171420
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | ME171420
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License Number State | FL
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