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General NPI Number Information
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NPI Number | 1013164425
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Entity Type | Individual
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Provider Name | DAWN M BURGESS RNFA
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Gender | Female
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Dates
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Enumeration Date | 08/27/2008
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Last Update Date | 08/27/2008
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Provider Practice Location Address
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Address Line | 2701 LINCOLN AVE
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City | EVANSVILLE
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State | IN
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Zip | 47714-1627
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Country | US
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Telephone | 812-476-4400
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Fax | 812-476-0300
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Provider Business Mailing Address
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Address Line | 2701 LINCOLN AVE
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City | EVANSVILLE
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State | IN
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Zip | 47714-1627
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Country | US
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Telephone | 812-476-4400
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Fax | 812-476-0300
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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 | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | 28159755A
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License Number State | IN
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