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General NPI Number Information
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NPI Number | 1396795381
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Entity Type | Individual
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Provider Name | KERIN L BURDETTE DDS
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Gender | Female
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 07/29/2010
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Provider Practice Location Address
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Address Line | 400 E US HWY 67
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City | DUNCANVILLE
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State | TX
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Zip | 75137
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Country | US
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Telephone | 214-339-5150
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Fax | 214-339-5151
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Provider Business Mailing Address
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Address Line | 400 E US HWY 67
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City | DUNCANVILLE
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State | TX
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Zip | 75137
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Country | US
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Telephone | 214-339-5150
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Fax | 214-339-5151
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 015946
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 5170
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 019-26330
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 6787
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License Number State | NE
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Taxonomy #5
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 25187
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License Number State | TX
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