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General NPI Number Information
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NPI Number | 1922953876
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Entity Type | Organization
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Legal Business Name | JASJIT BASRA DDS PC
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Dates
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Enumeration Date | 03/04/2026
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Last Update Date | 03/04/2026
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Provider Practice Location Address
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Address Line | 430 E 20TH ST APT MH
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City | NEW YORK
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State | NY
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Zip | 10009-8202
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Country | US
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Telephone | 212-473-4151
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Fax |
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Provider Business Mailing Address
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Address Line | 430 E 20TH ST
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City | NEW YORK
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State | NY
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Zip | 10009-8201
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Country | US
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Telephone | 212-473-4151
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Fax | 646-414-2004
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Authorized Official
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Title or Position | OWNER
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Name | JASJIT BASRA
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Credential | DDS
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Telephone | 518-435-5304
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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 |
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License Number State |
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