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General NPI Number Information
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NPI Number | 1790803997
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Entity Type | Organization
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Legal Business Name | ROBERT BASKIES D.M.D. PC
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 109 WASHINGTON AVE
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City | CHELSEA
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State | MA
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Zip | 02150-3923
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Country | US
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Telephone | 617-884-2824
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Fax | 617-887-2710
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Provider Business Mailing Address
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Address Line | 109 WASHINGTON AVE PO BOX 505753
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City | CHELSEA
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State | MA
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Zip | 02150-3923
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Country | US
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Telephone | 617-884-2824
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Fax | 617-887-2710
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT BASKIES
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Credential | DMD
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Telephone | 617-884-2824
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 14005
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License Number State | MA
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