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General NPI Number Information
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NPI Number | 1578505079
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Entity Type | Organization
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Legal Business Name | TRUXTUN SURGERY CENTER INC
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 04/24/2013
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Provider Practice Location Address
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Address Line | 4260 TRUXTUN AVE SUITE 120
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City | BAKERSFIELD
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State | CA
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Zip | 93309-0691
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Country | US
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Telephone | 661-327-3636
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Fax | 661-327-2888
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Provider Business Mailing Address
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Address Line | 4260 TRUXTUN AVE SUITE 120
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City | BAKERSFIELD
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State | CA
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Zip | 93309-0691
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Country | US
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Telephone | 661-327-3636
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Fax | 661-327-2888
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. RABI BHOGAL
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Credential | M.D.
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Telephone | 661-327-3636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 120000475
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License Number State | CA
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