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General NPI Number Information
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NPI Number | 1164575916
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Entity Type | Individual
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Provider Name | LOUISE C BURNS CRNP
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Gender | Female
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 09/23/2010
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Provider Practice Location Address
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Address Line | 1600 CRAIN HIGHWAY SOUTHWEST SUITE 201
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City | GLEN BURNIE
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State | MD
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Zip | 21061-5577
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Country | US
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Telephone | 410-761-8007
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Fax | 202-291-0512
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Provider Business Mailing Address
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Address Line | 301 HOSPITAL DRIVE
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City | GLEN BURNIE
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State | MD
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Zip | 21061-5577
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Country | US
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Telephone | 410-787-4000
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Fax | 410-787-4687
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | R076526
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License Number State | MD
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