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General NPI Number Information
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NPI Number | 1548375959
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Entity Type | Individual
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Provider Name | BETTY TALBOTT BURTON DMD
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Gender | Female
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 02/14/2012
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Provider Practice Location Address
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Address Line | 3700 BROWNBORO RD
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City | LOUISVILLE
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State | KY
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Zip | 40207
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Country | US
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Telephone | 502-893-0715
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Fax | 502-893-2248
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Provider Business Mailing Address
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Address Line | 3700 BROWNBORO RD
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City | LOUISVILLE
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State | KY
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Zip | 40207
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Country | US
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Telephone | 502-893-0715
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Fax | 502-893-2248
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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 | 6613
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 6613
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License Number State | KY
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