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General NPI Number Information
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NPI Number | 1073794400
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Entity Type | Organization
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Legal Business Name | ALFRED C. BURRIS, M.D., P.C.
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Dates
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Enumeration Date | 11/14/2007
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 650 PENNSYLVANIA AVE SE STE 480
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City | WASHINGTON
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State | DC
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Zip | 20003-4373
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Country | US
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Telephone | 202-562-4310
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Fax |
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Provider Business Mailing Address
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Address Line | 650 PENNSYLVANIA AVE SE STE 480
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City | WASHINGTON
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State | DC
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Zip | 20003-4373
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Country | US
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Telephone | 202-562-4310
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | DEBRA MITCHELL
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Credential |
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Telephone | 202-562-4310
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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 | D0024996
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License Number State | MD
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