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General NPI Number Information
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NPI Number | 1073508750
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Entity Type | Individual
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Provider Name | BYRON L. BARKSDALE M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/19/2005
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Last Update Date | 04/14/2023
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Provider Practice Location Address
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Address Line | 1931 WEST A ST
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City | NORTH PLATTE
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State | NE
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Zip | 69101
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Country | US
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Telephone | 308-532-4700
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Fax | 308-534-0534
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Provider Business Mailing Address
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Address Line | 1931 WEST A ST
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City | NORTH PLATTE
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State | NE
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Zip | 69101
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Country | US
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Telephone | 308-532-4700
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Fax | 308-534-0534
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ND0900X
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Taxonomy Name | Dermatopathology Physician
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License Number | 15625
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 207NS0135X
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Taxonomy Name | Procedural Dermatology Physician
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License Number | 15625
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | 15625
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License Number State | NE
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Taxonomy #4
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 15625
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License Number State | NE
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