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General NPI Number Information
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NPI Number | 1568473742
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Entity Type | Individual
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Provider Name | KATHERINE BURR LSA
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Gender | Female
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 09/19/2017
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Provider Practice Location Address
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Address Line | 6124 W PARKER RD SUITE 534
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City | PLANO
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State | TX
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Zip | 75093-8122
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Country | US
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Telephone | 972-378-0043
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Fax | 972-378-0467
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Provider Business Mailing Address
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Address Line | PO BOX 97
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City | PONDER
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State | TX
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Zip | 76259-0097
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Country | US
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Telephone | 972-378-0043
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Fax | 972-378-0467
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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 | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number |
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License Number State |
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