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General NPI Number Information
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NPI Number | 1285225409
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Entity Type | Individual
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Provider Name | DANA DENISE BURR CSFA
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Gender | Female
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Dates
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Enumeration Date | 01/30/2021
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Last Update Date | 01/30/2021
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Provider Practice Location Address
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Address Line | 744 W 9TH ST
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City | TULSA
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State | OK
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Zip | 74127-9907
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Country | US
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Telephone | 918-599-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 2117 MONTA AVE
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City | MUSKOGEE
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State | OK
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Zip | 74403-5914
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Country | US
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Telephone | 918-616-2775
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Fax | 918-446-0801
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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 | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number |
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License Number State |
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