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General NPI Number Information
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NPI Number | 1114940061
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Entity Type | Organization
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Legal Business Name | MICHAEL BURTON M D A MEDICAL GROUP INC
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 2101 N HILLHURST AVE
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City | LOS ANGELES
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State | CA
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Zip | 90027
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Country | US
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Telephone | 323-664-2931
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Fax | 323-664-8931
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Provider Business Mailing Address
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Address Line | 2101 HILLHURST AVE
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City | LOS ANGELES
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State | CA
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Zip | 90027-2003
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Country | US
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Telephone | 323-664-2931
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Fax | 323-664-8931
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Authorized Official
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Title or Position | MD
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Name | MICHAEL BURTON
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Credential |
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Telephone | 323-664-2931
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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