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NPI 1174839963

NPI 1174839963 : KAREN BURTON LVN : SAN ANTONIO, TX

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General NPI Number Information
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    NPI Number           |    1174839963
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    Entity Type          |    Individual 
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    Provider Name        |    KAREN BURTON LVN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/31/2010
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    Last Update Date     |    08/31/2010
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Provider Practice Location Address
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    Address Line         |    6800 PARK TEN BLVD STE 154-E 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78213-4243
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    Country              |    US
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    Telephone            |    210-828-2503
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    Fax                  |    210-828-0590
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Provider Business Mailing Address
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    Address Line         |    4330 MEDICAL DR STE 120 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78229-3353
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    Country              |    US
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    Telephone            |    210-614-7414
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    Fax                  |    210-616-0509
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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        |    164X00000X
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    Taxonomy Name        |    Licensed Vocational Nurse
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    License Number       |    182648
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    License Number State |    TX
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