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General NPI Number Information
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NPI Number | 1134543739
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Entity Type | Organization
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Legal Business Name | BARBARA D SAXENA MD PLLC
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Dates
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Enumeration Date | 02/18/2014
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Last Update Date | 02/24/2014
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Provider Practice Location Address
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Address Line | 1005 CHARLEVOIX DR SUITE 180
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City | GRAND LEDGE
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State | MI
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Zip | 48837-2432
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Country | US
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Telephone | 517-622-1775
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Fax | 517-913-6078
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Provider Business Mailing Address
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Address Line | PO BOX 80227
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City | LANSING
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State | MI
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Zip | 48908-0227
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Country | US
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Telephone | 517-622-1775
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Fax | 517-913-6078
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Authorized Official
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Title or Position | OWNER
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Name | DR. BARBARA DARLING SAXENA
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Credential | MD
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Telephone | 517-622-1775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | BS060808
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License Number State | MI
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