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General NPI Number Information
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NPI Number | 1508498858
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Entity Type | Organization
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Legal Business Name | ANDREA L BURNS DMD LLC
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Dates
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Enumeration Date | 02/05/2020
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Last Update Date | 02/05/2020
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Provider Practice Location Address
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Address Line | 510 SIMPSON HOWELL RD
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City | ELIZABETH
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State | PA
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Zip | 15037-2818
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Country | US
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Telephone | 724-833-1500
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Fax |
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Provider Business Mailing Address
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Address Line | 510 SIMPSON HOWELL RD
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City | ELIZABETH
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State | PA
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Zip | 15037-2818
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Country | US
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Telephone | 724-833-1500
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANDREA BURNS
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Credential | DMD
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Telephone | 724-833-1500
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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 |
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License Number State |
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