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General NPI Number Information
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NPI Number | 1174438329
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Entity Type | Individual
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Provider Name | TYGR LYNNE BURNETT DPT
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Gender | Female
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Dates
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Enumeration Date | 08/14/2026
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Last Update Date | 08/14/2026
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Provider Practice Location Address
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Address Line | 4702 LINCOLN BLVD
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City | MARINA DEL REY
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State | CA
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Zip | 90292-6902
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Country | US
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Telephone | 310-776-7878
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Fax |
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Provider Business Mailing Address
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Address Line | 269 S MARIPOSA AVE APT 601
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City | LOS ANGELES
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State | CA
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Zip | 90004-5976
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Country | US
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Telephone | 562-536-2681
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Fax |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 310794
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 310794
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License Number State | CA
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