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General NPI Number Information
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NPI Number | 1770748014
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Entity Type | Organization
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Legal Business Name | RICHARD ALEXAN MD INC
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Dates
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Enumeration Date | 07/25/2008
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Last Update Date | 08/09/2022
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Provider Practice Location Address
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Address Line | 4900 COMMERCE DR
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City | BAKERSFIELD
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State | CA
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Zip | 93309-0418
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Country | US
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Telephone | 661-395-0900
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Fax | 661-395-0700
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Provider Business Mailing Address
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Address Line | PO BOX 10719
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City | BAKERSFIELD
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State | CA
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Zip | 93389-0719
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Country | US
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Telephone | 661-395-0900
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Fax | 661-395-0700
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD ALEXAN-SHIRABAD
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Credential | M.D.
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Telephone | 661-395-0900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | A85082
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License Number State | CA
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