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General NPI Number Information
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NPI Number | 1659620532
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Entity Type | Individual
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Provider Name | BASEM KAYALI MD
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Gender | Male
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Dates
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Enumeration Date | 09/06/2012
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Last Update Date | 06/23/2022
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Provider Practice Location Address
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Address Line | 2100 BAPTISTE DR
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City | PAOLA
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State | KS
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Zip | 66071-1314
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Country | US
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Telephone | 913-294-6615
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 15694
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City | LENEXA
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State | KS
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Zip | 66285-5694
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Country | US
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Telephone | 913-634-3540
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Fax | 913-825-6358
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 01071843A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 04-36922
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License Number State | KS
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