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General NPI Number Information
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NPI Number | 1962622860
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Entity Type | Individual
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Provider Name | GREGORY JOSEPH BASURA M.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 203 LOTHROP ST STE 300
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City | PITTSBURGH
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State | PA
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Zip | 15213-2548
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Country | US
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Telephone | 734-277-6169
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Fax |
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Provider Business Mailing Address
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Address Line | 203 LOTHROP ST STE 300
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City | PITTSBURGH
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State | PA
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Zip | 15213-2548
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Country | US
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Telephone | 734-277-6169
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Fax |
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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 | 207YX0901X
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Taxonomy Name | Otology & Neurotology Physician
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License Number | MD486447
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License Number State | PA
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