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General NPI Number Information
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NPI Number | 1760821730
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Entity Type | Individual
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Provider Name | RALPH GIRARD BIXLER RPH
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Gender | Male
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Dates
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Enumeration Date | 06/22/2013
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Last Update Date | 05/25/2017
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Provider Practice Location Address
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Address Line | 1020 1ST ST
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City | COOS BAY
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State | OR
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Zip | 97420-3806
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Country | US
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Telephone | 541-269-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 290 N 2ND CT
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City | COOS BAY
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State | OR
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Zip | 97420-2402
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Country | US
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Telephone | 541-269-0757
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 027329
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 0008792
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0008792
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License Number State | OR
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