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Individual
BASAK CAN
Active
Individual
BASAK CAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
35.140559
OH
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
04-50455
KS
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
2018017651
MO
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
Primary
2023019937
MO
Other
Enumeration date
08/13/2018
Last updated
02/15/2025
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