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General NPI Number Information
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NPI Number | 1235233818
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Entity Type | Individual
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Provider Name | A. KEITH BURNS MD
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Gender | Male
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Dates
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Enumeration Date | 09/12/2006
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Last Update Date | 12/05/2016
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Provider Practice Location Address
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Address Line | 1615 E 12TH ST SUITE 100
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City | THE DALLES
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State | OR
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Zip | 97058-3278
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Country | US
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Telephone | 541-296-1100
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Fax | 541-236-0606
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Provider Business Mailing Address
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Address Line | 1615 E 12TH ST SUITE100
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City | THE DALLES
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State | OR
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Zip | 97058-3278
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Country | US
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Telephone | 541-296-1100
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Fax | 541-236-0606
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD16765
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License Number State | OR
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