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General NPI Number Information
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NPI Number | 1174508808
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Entity Type | Individual
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Provider Name | EDWARD BRANTLEY BURNS JR. MD
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Gender | Male
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Dates
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Enumeration Date | 12/15/2005
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Last Update Date | 10/17/2023
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Provider Practice Location Address
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Address Line | 1819 W CLINCH AVE STE 100
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City | KNOXVILLE
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State | TN
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Zip | 37916
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Country | US
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Telephone | 865-524-5365
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Fax | 865-673-8007
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Provider Business Mailing Address
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Address Line | PO BOX 306556
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City | NASHVILLE
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State | TN
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Zip | 37230-6556
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Country | US
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Telephone | 865-694-0062
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Fax | 865-694-7907
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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 | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | 19574
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License Number State | TN
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