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General NPI Number Information
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NPI Number | 1992201149
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Entity Type | Organization
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Legal Business Name | BASIT MEDICAL INC
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Dates
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Enumeration Date | 04/04/2018
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Last Update Date | 04/04/2018
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Provider Practice Location Address
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Address Line | 1457 BAILEY ST
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City | HANFORD
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State | CA
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Zip | 93230-5943
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Country | US
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Telephone | 559-582-9100
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Fax | 559-582-9103
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Provider Business Mailing Address
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Address Line | 2105 CHARLIE CHAMBERS DR
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City | HANFORD
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State | CA
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Zip | 93230-7364
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Country | US
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Telephone | 909-544-0431
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JASPER BASIT
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Credential | MD
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Telephone | 909-544-0431
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A12242
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License Number State | CA
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