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General NPI Number Information
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NPI Number | 1982146098
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Entity Type | Organization
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Legal Business Name | JOHN PATRICK BASLER
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Dates
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Enumeration Date | 11/07/2016
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Last Update Date | 11/07/2016
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Provider Practice Location Address
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Address Line | 1006 19TH ST
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City | BAY CITY
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State | MI
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Zip | 48708-7348
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Country | US
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Telephone | 989-233-1249
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Fax |
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Provider Business Mailing Address
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Address Line | 1006 19TH ST
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City | BAY CITY
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State | MI
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Zip | 48708-7348
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Country | US
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Telephone | 989-233-1249
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. JOHN PATRICK BASLER
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Credential | D.C.
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Telephone | 989-233-1249
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 2301004947
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License Number State | MI
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