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General NPI Number Information
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NPI Number | 1164496691
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Entity Type | Organization
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Legal Business Name | BURNS NURSING HOME, INC.
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Dates
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Enumeration Date | 02/13/2006
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Last Update Date | 08/29/2024
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Provider Practice Location Address
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Address Line | 701 MONROE ST NW
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City | RUSSELLVILLE
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State | AL
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Zip | 35653-1358
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Country | US
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Telephone | 256-332-4110
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Fax | 256-332-4163
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Provider Business Mailing Address
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Address Line | 701 MONROE ST NW
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City | RUSSELLVILLE
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State | AL
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Zip | 35653-1358
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Country | US
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Telephone | 256-332-4110
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Fax | 256-332-4163
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MARK S DEARMAN
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Credential | N.H.A.
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Telephone | 256-332-4110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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