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General NPI Number Information
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NPI Number | 1538984554
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Entity Type | Individual
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Provider Name | KATHRYN MARIE BURNS
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Gender | Female
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Dates
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Enumeration Date | 11/15/2024
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 2345 S HURON PKWY
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City | ANN ARBOR
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State | MI
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Zip | 48104-5124
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Country | US
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Telephone | 734-761-2149
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Fax |
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Provider Business Mailing Address
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Address Line | 3535 FORSHEE LN
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City | DEXTER
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State | MI
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Zip | 48130-8533
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Country | US
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Telephone | 734-717-3086
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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 | 173C00000X
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Taxonomy Name | Reflexologist
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License Number | 7501010968
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 172M00000X
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Taxonomy Name | Mechanotherapist
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License Number | 7501010968
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License Number State | MI
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