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General NPI Number Information
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NPI Number | 1932281623
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Entity Type | Organization
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Legal Business Name | WILLIAM R BARKMAN DO PC
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 102 LLANO STREET
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City | AZTEC
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State | NM
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Zip | 87410-2172
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Country | US
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Telephone | 505-334-9441
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Fax | 505-334-8750
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Provider Business Mailing Address
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Address Line | 102 LLANO STREET
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City | AZTEC
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State | NM
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Zip | 87410-2172
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Country | US
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Telephone | 505-334-9441
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Fax | 505-334-8750
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM R BARKMAN
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Credential | DO
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Telephone | 505-334-9441
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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 | A130105
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A71780
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License Number State | NM
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