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General NPI Number Information
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NPI Number | 1639184377
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Entity Type | Individual
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Provider Name | ARUN BASU MD
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Gender | Male
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 601 ELMWOOD AVE # 648
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City | ROCHESTER
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State | NY
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Zip | 14642-0001
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Country | US
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Telephone | 585-275-6359
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Fax |
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Provider Business Mailing Address
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Address Line | 248 QUINBY RD APT C
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City | ROCHESTER
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State | NY
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Zip | 14623-1270
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Country | US
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Telephone | 585-256-2342
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | NONE
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License Number State | NY
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