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NPI 1013739614

NPI 1013739614 : BRETT BURNS : NEWTOWN SQUARE, PA

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General NPI Number Information
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    NPI Number           |    1013739614
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    Entity Type          |    Individual 
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    Provider Name        |    BRETT BURNS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/26/2024
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    Last Update Date     |    10/26/2024
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Provider Practice Location Address
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    Address Line         |    3537 W CHESTER PIKE 
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    City                 |    NEWTOWN SQUARE
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    State                |    PA
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    Zip                  |    19073-3701
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    Country              |    US
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    Telephone            |    610-723-7771
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    207 ELM RD 
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    City                 |    WALLINGFORD
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    State                |    PA
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    Zip                  |    19086-7032
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    
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