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General NPI Number Information
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NPI Number | 1225062003
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Entity Type | Individual
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Provider Name | CAROL A BURNEY RN
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Gender | Female
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 112 GUESS LANE
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City | ST MATTHEWS
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State | SC
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Zip | 29135
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Country | US
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Telephone | 803-874-2301
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Fax | 803-655-5388
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Provider Business Mailing Address
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Address Line | 2319 ST MATTHEWS ROAD
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City | ORANGEBURG
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State | SC
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Zip | 29118
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Country | US
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Telephone | 803-536-1571
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Fax | 803-536-1463
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 48099
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License Number State | SC
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