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General NPI Number Information
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NPI Number | 1275770307
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Entity Type | Organization
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Legal Business Name | DR. NANCY L. BURNS PC
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Dates
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Enumeration Date | 01/12/2009
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Last Update Date | 04/01/2009
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Provider Practice Location Address
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Address Line | 160 BENMONT AVE SUITE 30
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City | BENNINGTON
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State | VT
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Zip | 05201-1873
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Country | US
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Telephone | 802-447-2110
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Fax |
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Provider Business Mailing Address
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Address Line | 160 BENMONT AVE SUITE 30
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City | BENNINGTON
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State | VT
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Zip | 05201-1873
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Country | US
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Telephone | 802-447-2110
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NANCY L BURNS
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Credential | DC
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Telephone | 802-447-2110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 006000876
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License Number State | VT
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