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General NPI Number Information
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NPI Number | 1922365022
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Entity Type | Individual
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Provider Name | JASON EDWARD BARKSDALE MD
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Gender | Male
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Dates
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Enumeration Date | 04/13/2012
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 2320 BATH ST STE 113
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City | SANTA BARBARA
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State | CA
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Zip | 93105-4339
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Country | US
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Telephone | 805-682-7984
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Fax |
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Provider Business Mailing Address
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Address Line | DEPT LA 21613
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City | PASADENA
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State | CA
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Zip | 91185-1613
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Country | US
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Telephone | 949-263-8620
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Fax | 800-409-7005
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | A106983
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License Number State | CA
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