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General NPI Number Information
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NPI Number | 1558302182
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Entity Type | Individual
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Provider Name | ROYCE ALAN BURNS M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 10/17/2007
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Provider Practice Location Address
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Address Line | 8118 GOOD LUCK RD
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City | LANHAM
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State | MD
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Zip | 20706-3595
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Country | US
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Telephone | 301-498-2922
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 E WEST HWY 815
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City | SILVER SPRING
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State | MD
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Zip | 20910-3230
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Country | US
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Telephone |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | D0064268
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License Number State | MD
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