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General NPI Number Information
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NPI Number | 1548880842
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Entity Type | Individual
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Provider Name | NATHANIEL DAVID BURNHAM DO
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Gender | Male
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Dates
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Enumeration Date | 04/16/2020
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 408 CLARK ST NE
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City | CULLMAN
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State | AL
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Zip | 35055-1953
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Country | US
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Telephone | 256-734-3202
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Fax | 256-734-4668
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Provider Business Mailing Address
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Address Line | PO BOX 2895
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City | CULLMAN
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State | AL
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Zip | 35056-2895
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Country | US
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Telephone | 256-735-5044
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Fax | 256-801-7626
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DO.3102
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License Number State | AL
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