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General NPI Number Information
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NPI Number | 1538416359
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Entity Type | Individual
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Provider Name | KEVIN BURNS DMD
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Gender | Male
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Dates
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Enumeration Date | 08/10/2012
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Last Update Date | 07/11/2024
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Provider Practice Location Address
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Address Line | 7400 S POWER RD STE 136
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City | GILBERT
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State | AZ
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Zip | 85297-9284
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Country | US
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Telephone | 480-279-3113
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Fax |
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Provider Business Mailing Address
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Address Line | 7400 S POWER RD STE 136
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City | GILBERT
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State | AZ
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Zip | 85297-9284
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Country | US
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Telephone | 480-279-3113
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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 | 8357668-9921
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | D011768
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License Number State | AZ
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