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Individual
TSILYA BASS
Active
Individual
TSILYA BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A63630
CA
208D00000X
General Practice Physician
A63630
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A636300
—
CA
Enumeration date
02/07/2007
Last updated
07/07/2020
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