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General NPI Number Information
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NPI Number | 1962418806
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Entity Type | Individual
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Provider Name | GREGORY BARKDULL MD
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Gender | Male
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 10/15/2021
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Provider Practice Location Address
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Address Line | 2350 BUHNE ST SUITE C
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City | EUREKA
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State | CA
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Zip | 95501-3238
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Country | US
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Telephone | 707-444-8863
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Fax | 707-444-9496
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Provider Business Mailing Address
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Address Line | 2350 BUHNE ST SUITE C
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City | EUREKA
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State | CA
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Zip | 95501-3238
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Country | US
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Telephone | 707-444-8863
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Fax | 707-444-9496
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | A93160
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License Number State | CA
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