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General NPI Number Information
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NPI Number | 1376517912
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Entity Type | Individual
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Provider Name | WILLIAM E BURNS JR. DPT
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Gender | Male
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Dates
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Enumeration Date | 02/13/2006
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Last Update Date | 10/06/2011
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Provider Practice Location Address
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Address Line | 55 BEACH ST SUITES 1 & 2
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City | WESTERLY
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State | RI
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Zip | 02891-2770
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Country | US
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Telephone | 401-348-1010
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Fax | 401-348-9550
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Provider Business Mailing Address
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Address Line | 327 HEATHER GLEN LN
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City | MYSTIC
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State | CT
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Zip | 06355-1172
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Country | US
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Telephone | 860-536-0418
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 007640
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT01857
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License Number State | RI
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