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General NPI Number Information
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NPI Number | 1326704925
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Entity Type | Organization
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Legal Business Name | JERRY M BURNS DDS PC III
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Dates
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Enumeration Date | 11/09/2021
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Last Update Date | 11/09/2021
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Provider Practice Location Address
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Address Line | 13760 W CAMELBACK RD STE 50
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City | LITCHFIELD PARK
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State | AZ
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Zip | 85340-3081
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Country | US
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Telephone | 623-584-9844
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Fax |
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Provider Business Mailing Address
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Address Line | 13404 N DEL WEBB BLVD
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City | SUN CITY
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State | AZ
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Zip | 85351-2750
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Country | US
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Telephone | 623-584-9845
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Fax |
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. JERRY M BURNS
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Credential | DDS
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Telephone | 623-584-9844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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