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General NPI Number Information
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NPI Number | 1063453801
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Entity Type | Individual
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Provider Name | CAROLYN ADELL BURNS M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/10/2006
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Last Update Date | 12/14/2023
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Provider Practice Location Address
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Address Line | 9000 STONY POINT PKWY
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City | RICHMOND
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State | VA
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Zip | 23235-1900
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Country | US
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Telephone | 804-560-8920
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Fax | 804-998-1255
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Provider Business Mailing Address
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Address Line | PO BOX 780125
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City | PHILADELPHIA
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State | PA
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Zip | 19178-0125
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Country | US
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Telephone | 804-922-4844
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Fax | 804-545-4340
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 0101043414
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License Number State | VA
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