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General NPI Number Information
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NPI Number | 1548276348
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Entity Type | Organization
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Legal Business Name | CARRIE K. BURNS MD PA
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 04/17/2013
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Provider Practice Location Address
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Address Line | 4308 ALLENBROOK DR
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City | BAYTOWN
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State | TX
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Zip | 77521-3200
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Country | US
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Telephone | 281-422-4141
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Fax | 281-422-5939
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Provider Business Mailing Address
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Address Line | 4308 ALLENBROOK DR
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City | BAYTOWN
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State | TX
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Zip | 77521-3200
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Country | US
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Telephone | 281-422-4141
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Fax | 281-422-5939
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CARRIE BURNS
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Credential | MD
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Telephone | 281-422-4141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | G3200
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License Number State | TX
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