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General NPI Number Information
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NPI Number | 1346016912
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Entity Type | Individual
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Provider Name | TAYLOR BURNS PA-C
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Gender | Female
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Dates
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Enumeration Date | 11/27/2023
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Last Update Date | 03/01/2024
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Provider Practice Location Address
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Address Line | 629 NUCKOLLS RD
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City | BOLIVAR
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State | TN
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Zip | 38008-1599
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Country | US
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Telephone | 731-658-3388
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Fax |
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Provider Business Mailing Address
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Address Line | 78 HAMILTON ST
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City | BREWTON
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State | AL
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Zip | 36426-4460
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Country | US
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Telephone | 205-470-5765
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 5797
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License Number State | TN
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