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General NPI Number Information
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NPI Number | 1477460392
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Entity Type | Individual
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Provider Name | PHILLIP ANTHONY BURNS
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Gender | Male
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Dates
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Enumeration Date | 08/26/2026
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Last Update Date | 08/26/2026
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Provider Practice Location Address
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Address Line | 1901 VETERANS MEMORIAL DR
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City | TEMPLE
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State | TX
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Zip | 76504-7445
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Country | US
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Telephone | 254-743-1143
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Fax |
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Provider Business Mailing Address
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Address Line | 101 SILVER MAPLE CT
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City | KILLEEN
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State | TX
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Zip | 76549-7088
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Country | US
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Telephone | 254-258-7805
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number | A-4206588
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License Number State | TX
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