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General NPI Number Information
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NPI Number | 1376516260
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Entity Type | Individual
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Provider Name | HENRY E BURGESS MD
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Gender | Male
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Dates
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Enumeration Date | 02/10/2006
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 405 E LABURNUM AVE STE 3
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City | RICHMOND
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State | VA
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Zip | 23222-2134
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Country | US
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Telephone | 540-200-8821
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Fax | 540-779-7889
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Provider Business Mailing Address
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Address Line | 674 LEES GAP RD
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City | FINCASTLE
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State | VA
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Zip | 24090-3869
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Country | US
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Telephone | 540-682-3082
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Fax | 540-779-7889
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | C159147
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 81686
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | E-11833
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License Number State | AR
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 201803048
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101230868
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License Number State | VA
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