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General NPI Number Information
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NPI Number | 1861676108
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Entity Type | Organization
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Legal Business Name | BASSAM SINNO MD A MEDICAL CORPORATION
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Dates
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Enumeration Date | 12/21/2007
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Last Update Date | 10/19/2009
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Provider Practice Location Address
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Address Line | 477 N EL CAMINO REAL B301
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City | ENCINITAS
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State | CA
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Zip | 92024-1328
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Country | US
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Telephone | 760-633-3139
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Fax | 760-635-5632
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Provider Business Mailing Address
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Address Line | 477 N EL CAMINO REAL B301
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City | ENCINITAS
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State | CA
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Zip | 92024-1328
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Country | US
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Telephone | 760-633-3139
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Fax | 760-635-5632
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Authorized Official
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Title or Position | PSYCHIATRIST
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Name | BASSAM AHMAD SINNO
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Credential | M.D
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Telephone | 760-633-3139
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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