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General NPI Number Information
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NPI Number | 1912134081
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Entity Type | Organization
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Legal Business Name | R A BEXTON MD, INC
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Dates
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Enumeration Date | 06/16/2009
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Last Update Date | 10/29/2014
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Provider Practice Location Address
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Address Line | 4939 CALLOWAY DR STE 102
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City | BAKERSFIELD
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State | CA
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Zip | 93312-9721
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Country | US
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Telephone | 661-829-5939
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Fax | 661-679-7956
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Provider Business Mailing Address
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Address Line | PO BOX 20553
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City | BAKERSFIELD
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State | CA
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Zip | 93390-0553
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Country | US
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Telephone | 661-829-5939
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Fax | 661-679-7956
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Authorized Official
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Title or Position | CEO
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Name | MR. ROBERT ALLAN BEXTON
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Credential | MD
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Telephone | 661-829-5939
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A44013
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License Number State | CA
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