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General NPI Number Information
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NPI Number | 1336532332
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Entity Type | Individual
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Provider Name | SAMUEL H BURNS M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/15/2015
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Last Update Date | 06/07/2025
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Provider Practice Location Address
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Address Line | 5005 N PIEDRAS ST
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City | EL PASO
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State | TX
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Zip | 79920
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Country | US
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Telephone | 206-399-8203
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Fax |
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Provider Business Mailing Address
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Address Line | 5005 N PIEDRAS ST
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City | EL PASO
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State | TX
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Zip | 79920
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Country | US
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Telephone | 206-399-8203
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Fax |
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD2021-0199
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 29607
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | S7398
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License Number State | TX
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