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General NPI Number Information
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NPI Number | 1073603411
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Entity Type | Individual
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Provider Name | CHRISTOPHER SHEA BURRESS D.O.
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Gender | Male
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Dates
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Enumeration Date | 10/14/2006
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Last Update Date | 02/15/2018
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Provider Practice Location Address
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Address Line | 10044 HIGHWAY 46
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City | BON AQUA
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State | TN
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Zip | 37025-1764
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Country | US
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Telephone | 931-996-4247
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Fax | 931-996-4248
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Provider Business Mailing Address
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Address Line | 10044 HIGHWAY 46
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City | BON AQUA
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State | TN
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Zip | 37025-1764
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Country | US
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Telephone | 931-996-4247
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Fax | 931-996-4248
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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 | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | DO-2027
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | DO2027
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | DO-941
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License Number State | AL
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Taxonomy #4
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | DO-2027
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License Number State | TN
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Taxonomy #5
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number | DO-2027
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License Number State | TN
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Taxonomy #6
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | DO-941
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License Number State | AL
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Taxonomy #7
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | DO-2027
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License Number State | TN
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Taxonomy #8
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | DO-2027
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License Number State | TN
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Taxonomy #9
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | DO2027
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License Number State | TN
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