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General NPI Number Information
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NPI Number | 1548469372
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Entity Type | Individual
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Provider Name | BEN EUGENE PAXTON M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/12/2007
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 1000 AINSWORTH # 115
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City | PRESCOTT
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State | AZ
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Zip | 86305
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Country | US
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Telephone | 928-771-7577
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Fax | 928-441-1522
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Provider Business Mailing Address
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Address Line | 1000 AINSWORTH # 115
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City | PRESCOTT
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State | AZ
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Zip | 86305
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Country | US
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Telephone | 928-771-7577
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Fax | 928-441-1522
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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 | 47752
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 27568
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 47752
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License Number State | AZ
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