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General NPI Number Information
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NPI Number | 1194344523
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Entity Type | Individual
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Provider Name | BROOKE J BURNS CD(DONA)
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Gender | Female
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Dates
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Enumeration Date | 04/15/2020
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Last Update Date | 04/15/2020
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Provider Practice Location Address
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Address Line | 2319 GETTYSBURG AVE S
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City | ST LOUIS PARK
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State | MN
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Zip | 55426-2342
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Country | US
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Telephone | 715-209-0460
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 26022
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City | MINNEAPOLIS
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State | MN
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Zip | 55426-0022
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Country | US
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Telephone |
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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 | 374J00000X
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Taxonomy Name | Doula
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License Number | 13400
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License Number State |
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