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General NPI Number Information
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NPI Number | 1124356084
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Entity Type | Individual
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Provider Name | JOHN MARCEL JAMES BURNEY MD
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Gender | Male
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Dates
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Enumeration Date | 12/03/2009
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Last Update Date | 12/22/2023
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Provider Practice Location Address
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Address Line | 2402 FRIST BLVD
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City | FORT PIERCE
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State | FL
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Zip | 34950-4838
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Country | US
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Telephone | 772-429-3400
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Fax | 844-542-4894
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Provider Business Mailing Address
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Address Line | 5827 CORPORATE WAY
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-2000
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Country | US
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Telephone | 561-373-0765
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Fax | 561-472-9692
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME115510
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License Number State | FL
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