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General NPI Number Information
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NPI Number | 1033562517
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Entity Type | Individual
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Provider Name | MICHAEL BURNS PHARM.D., MPH
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Gender | Male
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Dates
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Enumeration Date | 07/19/2016
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Last Update Date | 07/19/2016
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Provider Practice Location Address
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Address Line | 81 TELEGRAPH RD
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City | MIDDLEPORT
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State | NY
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Zip | 14105-9638
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Country | US
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Telephone | 716-735-3261
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Fax |
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Provider Business Mailing Address
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Address Line | 2464 SOUTH AVE
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City | NIAGARA FALLS
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State | NY
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Zip | 14305-3120
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Country | US
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Telephone | 716-957-0087
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 061743
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License Number State | NY
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