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General NPI Number Information
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NPI Number | 1427055391
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Entity Type | Individual
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Provider Name | DANTE R BURGOS M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 09/07/2023
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Provider Practice Location Address
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Address Line | 6401 ELDORADO PKWY STE 207
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City | MCKINNEY
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State | TX
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Zip | 75070-6197
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Country | US
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Telephone | 972-712-0591
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Fax | 972-421-1527
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Provider Business Mailing Address
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Address Line | PO BOX 2022
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City | ALLEN
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State | TX
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Zip | 75013-0035
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Country | US
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Telephone | 972-712-0591
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Fax | 972-421-1527
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | H8595
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | H8595
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License Number State | TX
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