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General NPI Number Information
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NPI Number | 1922180520
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Entity Type | Individual
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Provider Name | BASSEM ONSY ABRAHAM MD
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Gender | Male
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 09/09/2024
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Provider Practice Location Address
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Address Line | 115 TECHNOLOGY DR STE B202
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City | TRUMBULL
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State | CT
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Zip | 06611-6337
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Country | US
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Telephone | 203-548-7590
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Fax | 855-950-0826
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Provider Business Mailing Address
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Address Line | 7 RED MILL LN
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City | DARIEN
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State | CT
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Zip | 06820-3612
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Country | US
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Telephone | 203-548-7590
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Fax | 855-950-0826
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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 | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | 1.043980
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 256799
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License Number State | NY
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