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General NPI Number Information
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NPI Number | 1114032620
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Entity Type | Individual
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Provider Name | ALPHA JEROME ANDERS M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2828 H ST STE D
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City | BAKERSFIELD
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State | CA
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Zip | 93301-1900
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Country | US
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Telephone | 661-633-5474
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Fax | 661-633-9276
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Provider Business Mailing Address
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Address Line | PO BOX 2809
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City | BAKERSFIELD
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State | CA
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Zip | 93303-2809
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Country | US
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Telephone | 661-633-5474
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Fax | 661-633-9276
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | G52224
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | G52224
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License Number State | CA
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