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General NPI Number Information
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NPI Number | 1568607224
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Entity Type | Individual
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Provider Name | VERA E. BURNS O.D.
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Gender | Female
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Dates
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Enumeration Date | 12/10/2008
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Last Update Date | 02/16/2022
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Provider Practice Location Address
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Address Line | 4135 LAVISTA RD SUITE 100
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City | TUCKER
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State | GA
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Zip | 30084-5314
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Country | US
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Telephone | 404-388-4321
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Fax |
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Provider Business Mailing Address
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Address Line | 3191 KEY DR SW
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City | ATLANTA
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State | GA
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Zip | 30311-3648
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Country | US
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Telephone | 404-388-4321
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1007T
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT001007
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License Number State | GA
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