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General NPI Number Information
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NPI Number | 1174971279
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Entity Type | Individual
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Provider Name | LOREL E BURNS DDS
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Gender | Female
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Dates
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Enumeration Date | 05/31/2016
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 345 E 24TH ST # 407W
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City | NEW YORK
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State | NY
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Zip | 10010-4020
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Country | US
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Telephone | 615-568-0277
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Fax |
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Provider Business Mailing Address
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Address Line | 2 PETER COOPER RD APT 9H
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City | NEW YORK
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State | NY
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Zip | 10010-6731
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Country | US
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Telephone | 615-568-0277
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | DS040824
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 10529
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 059305
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License Number State | NY
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