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Individual
RICHARD M BASALY
Active
Individual
RICHARD M BASALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
LL31891
SC
207Q00000X
Family Medicine Physician
Primary
ME124898
FL
207R00000X
Internal Medicine Physician
2016-02367
NC
208M00000X
Hospitalist Physician
2016-02367
NC
208M00000X
Hospitalist Physician
ME124898
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016490700
—
FL
05
—
318917
—
SC
05
—
GP4819
—
SC
05
—
RHC202
—
SC
Enumeration date
06/23/2009
Last updated
12/12/2017
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