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General NPI Number Information
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NPI Number | 1578659611
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Entity Type | Individual
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Provider Name | BASSEM MORA MD
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Gender | Male
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 11/06/2023
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Provider Practice Location Address
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Address Line | 2501 N ORANGE AVE STE 442
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City | ORLANDO
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State | FL
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Zip | 32804-4644
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Country | US
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Telephone | 407-303-3692
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Fax |
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Provider Business Mailing Address
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Address Line | 2501 N ORANGE AVE STE 442
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City | ORLANDO
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State | FL
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Zip | 32804-4644
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Country | US
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Telephone | 407-303-3692
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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 | 036-113451
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 58638
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | ME125597
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License Number State | FL
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