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NPI Code Detail

MEDICARE: BASHA ALEXANDRA CLOSIC

MEDICARE: BASHA ALEXANDRA CLOSIC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1528118684
Entity Type Code : Individual
Provider Name (Legal Business Name) : BASHA ALEXANDRA CLOSIC
Provider Business Mailing Address
First Line : 2713 LANCASTER AVE
Second Line :
City : WILMINGTON
State : DE
Zip : 19805-5220
Country : US
Telephone Number : 302-655-9880
Fax Number :
Provider Business Practice Location Address
First Line : 2713 LANCASTER AVE
Second Line :
City : WILMINGTON
State : DE
Zip : 19805-5220
Country : US
Telephone Number : 302-655-9880
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2007
Last Update Date : 07/08/2007

Similar Medicare Providers

1164014940 — CHARLENE MCNEAL-SEBOLD
Practice Location Address:
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19805-5220
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1043639172 — LATASHA MALONE
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1346320983 — BRANDYWINE COUNSELING & COMMUNITY SERVICES, INC.
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1770646655 — JOSEPH A GLICK M.D.
Practice Location Address:
2713 LANCASTER AVE
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Practice Fax:
1467502419 — SUSAN P BECKMAN
Practice Location Address:
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1346391638 — STEPHANIE L GENTILE
Practice Location Address:
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Practice Fax: 302-656-0746

Directions to “ BASHA ALEXANDRA CLOSIC ” Practice Location

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