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General NPI Number Information
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NPI Number | 1164471215
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Entity Type | Organization
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Legal Business Name | BARSTOW SURGICAL INC
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Dates
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Enumeration Date | 05/08/2006
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Last Update Date | 02/19/2008
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Provider Practice Location Address
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Address Line | 705 E. VIRGINIA WAY SUITE B
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City | BARSTOW
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State | CA
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Zip | 92311-3955
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Country | US
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Telephone | 760-256-4651
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Fax | 760-255-2280
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Provider Business Mailing Address
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Address Line | 705 E. VIRGINIA WAY STE B
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City | BARSTOW
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State | CA
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Zip | 92311-3955
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Country | US
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Telephone | 760-256-4651
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Fax | 760-255-2280
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ARTRURO TALON SANTOS
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Credential | MD
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Telephone | 760-256-4651
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | A32782
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License Number State | CA
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