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General NPI Number Information
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NPI Number | 1376734541
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Entity Type | Organization
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Legal Business Name | LAWRENCE E. BURNS DPM, INC
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 09/19/2011
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Provider Practice Location Address
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Address Line | 4230 HARDING RD SUITE G12
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City | NASHVILLE
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State | TN
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Zip | 37205-2018
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Country | US
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Telephone | 615-301-7054
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Fax | 615-301-7056
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Provider Business Mailing Address
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Address Line | 104 WOODMONT BLVD SUITE LL-50
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City | NASHVILLE
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State | TN
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Zip | 37205-2245
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Country | US
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Telephone | 615-386-2300
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Fax | 615-386-2399
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | LAWRENCE E. BURNS JR.
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Credential | DPM
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Telephone | 615-301-7054
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | DPM 531
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | DPM 531
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | DPM 531
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | DPM 531
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License Number State | TN
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