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General NPI Number Information
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NPI Number | 1457573560
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Entity Type | Individual
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Provider Name | STEVEN J BURT DDS
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Gender | Male
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 2900 S HIGLEY BLVD
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City | RAWLINS
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State | WY
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Zip | 82301
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Country | US
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Telephone | 307-328-1441
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Fax | 307-328-7464
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Provider Business Mailing Address
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Address Line | 165 SEMINOLE DR
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City | EVANSTON
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State | WY
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Zip | 82930-6601
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Country | US
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Telephone | 307-677-2709
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 1211
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License Number State | WY
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