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General NPI Number Information
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NPI Number | 1043363112
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Entity Type | Individual
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Provider Name | MARY ELLEN BURTON D.C.
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Gender | Female
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 307 E PARK AVE STE 204
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City | ANACONDA
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State | MT
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Zip | 59711-2351
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Country | US
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Telephone | 406-459-6785
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Fax | 406-563-0424
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Provider Business Mailing Address
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Address Line | 307 E PARK AVE SUITE 204
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City | ANACONDA
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State | MT
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Zip | 59711-2351
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Country | US
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Telephone | 406-459-6785
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Fax | 406-563-0424
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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 | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | CHIR008124
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | CHI-CHI-LIC-2372
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License Number State | MT
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