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General NPI Number Information
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NPI Number | 1184694242
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Entity Type | Individual
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Provider Name | STEPHEN BURNS M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/23/2006
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Last Update Date | 08/08/2011
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Provider Practice Location Address
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Address Line | 1225 E COOLSPRING AVE
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City | MICHIGAN CITY
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State | IN
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Zip | 46360-6312
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Country | US
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Telephone | 219-861-8161
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Fax | 219-873-9504
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Provider Business Mailing Address
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Address Line | 1225 E COOLSPRING AVE
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City | MICHIGAN CITY
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State | IN
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Zip | 46360-6312
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Country | US
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Telephone | 219-861-8161
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Fax | 219-873-9504
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 01031148A
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License Number State | IN
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