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General NPI Number Information
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NPI Number | 1619120201
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Entity Type | Organization
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Legal Business Name | REXFORD K.ANDERSON,JR,M.D.,P.A.
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Dates
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Enumeration Date | 10/28/2008
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Last Update Date | 10/28/2008
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Provider Practice Location Address
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Address Line | 402 CYPRESS ST SUITE 609
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City | ABILENE
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State | TX
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Zip | 79601-5139
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Country | US
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Telephone | 325-672-5611
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Fax | 325-672-9241
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Provider Business Mailing Address
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Address Line | 402 CYPRESS ST SUITE 609
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City | ABILENE
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State | TX
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Zip | 79601-5139
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Country | US
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Telephone | 325-672-5611
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Fax | 325-672-9241
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Authorized Official
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Title or Position | PRESIDENT
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Name | REXFORD K ANDERSON JR.
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Credential | M.D.
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Telephone | 325-672-5611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | D4912
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License Number State | TX
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