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General NPI Number Information
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NPI Number | 1134161508
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Entity Type | Individual
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Provider Name | REGINALD A BURTON M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 05/24/2010
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Provider Practice Location Address
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Address Line | 2300 S 16TH ST
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City | LINCOLN
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State | NE
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Zip | 68502-3704
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Country | US
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Telephone | 402-440-4405
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 67250
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City | LINCOLN
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State | NE
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Zip | 68506-7250
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Country | US
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Telephone | 402-436-2855
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Fax | 402-436-2858
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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 | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number | 22202
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License Number State | NE
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