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General NPI Number Information
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NPI Number | 1619153251
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Entity Type | Organization
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Legal Business Name | PINNACLE EMERGENCY PHYSICIANS OF BAKERSFIELD, A PROFESSIONAL CORP
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Dates
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Enumeration Date | 01/14/2008
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 420 34TH ST
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City | BAKERSFIELD
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State | CA
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Zip | 93301-2237
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Country | US
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Telephone | 661-327-4647
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Fax | 661-326-8507
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Provider Business Mailing Address
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Address Line | 4401 W MEMORIAL RD STE 121
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City | OKLAHOMA CITY
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State | OK
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Zip | 73134-1722
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Country | US
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Telephone | 800-749-4560
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Fax | 405-755-5283
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Authorized Official
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Title or Position | OWNER
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Name | DR. LESLIE RICHARD BURSON
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Credential | D.O.
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Telephone | 800-749-4560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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