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General NPI Number Information
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NPI Number | 1427211416
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Entity Type | Individual
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Provider Name | RACHEL LYNNET BURNETT O.D.
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Gender | Female
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Dates
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Enumeration Date | 07/09/2008
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Last Update Date | 08/10/2017
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Provider Practice Location Address
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Address Line | 1506 JUDSON RD
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City | LONGVIEW
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State | TX
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Zip | 75601-3919
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Country | US
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Telephone | 903-758-8832
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Fax | 903-238-8876
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Provider Business Mailing Address
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Address Line | 1506 JUDSON RD
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City | LONGVIEW
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State | TX
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Zip | 75601-3919
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Country | US
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Telephone | 903-758-8832
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Fax | 903-238-8876
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 7232TG
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License Number State | TX
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