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General NPI Number Information
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NPI Number | 1750718169
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Entity Type | Organization
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Legal Business Name | BRUCE W BARTON, M.D., INC
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Dates
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Enumeration Date | 09/30/2013
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Last Update Date | 02/02/2021
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Provider Practice Location Address
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Address Line | 201 4TH ST STE 3D
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City | ALEXANDRIA
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State | LA
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Zip | 71301-8421
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Country | US
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Telephone | 318-473-9701
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Fax |
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Provider Business Mailing Address
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Address Line | 301 FOURTH STREET BOX 30152
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City | ALEXANDRIA
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State | LA
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Zip | 71301-8421
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Country | US
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Telephone | 318-473-9701
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Fax | 318-473-9705
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRUCE W BARTON
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Credential | M.D.
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Telephone | 318-473-9701
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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 | MD.017897
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License Number State | LA
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