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General NPI Number Information
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NPI Number | 1679350979
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Entity Type | Individual
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Provider Name | MR. RATESH BASSI
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Gender | Male
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Dates
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Enumeration Date | 09/11/2023
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Last Update Date | 03/10/2026
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Provider Practice Location Address
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Address Line | GREAT LAKES ANESTHESIOLOGY, PC JOHN R. OISHEI CHILDRENS 818 ELLICOTT STREET
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City | BUFFALO
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State | NY
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Zip | 14203
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Country | US
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Telephone | 716-323-6572
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 MAIN STREET GREAT LAKES ANESTHESIOLOGY, PC SUITE K 3502
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City | BUFFALO
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State | NY
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Zip | 14203-1010
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Country | US
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Telephone | 716-323-6576
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Fax | 716-323-6659
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | P123698
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License Number State | NY
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