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General NPI Number Information
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NPI Number | 1730272527
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Entity Type | Individual
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Provider Name | BARBARA BRUTON M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 12/31/2024
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Provider Practice Location Address
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Address Line | 4267 MARINA CITY DR UNIT 1106
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City | MARINA DEL REY
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State | CA
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Zip | 90292-5812
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Country | US
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Telephone | 424-384-3432
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Fax | 310-817-2012
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Provider Business Mailing Address
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Address Line | 18815 PEPPERDINE DR
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City | CARSON
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State | CA
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Zip | 90746-3905
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Country | US
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Telephone | 310-817-2012
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Fax | 310-715-1813
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A45856
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number | A45856
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License Number State | CA
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