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General NPI Number Information
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NPI Number | 1255355053
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Entity Type | Individual
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Provider Name | BARBARA G. ANDERSEN MD
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Gender | Female
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 12/01/2009
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Provider Practice Location Address
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Address Line | 58295 29 PALMS HWY
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City | YUCCA VALLEY
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State | CA
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Zip | 92284-5803
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Country | US
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Telephone | 760-365-6300
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Fax | 760-396-1200
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Provider Business Mailing Address
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Address Line | 2234 COLONIAL BLVD ATTN: MANAGED CARE DEPT.
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City | FORT MYERS
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State | FL
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Zip | 33907-1412
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Country | US
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Telephone | 239-931-7342
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Fax | 239-931-7385
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | G52853
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | G52853
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License Number State | CA
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