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NPI 1578544235

NPI 1578544235 : JOSEPH FRANKLIN BURTON JR. R.PH.,CFTS : GREENSBORO, NC

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General NPI Number Information
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    NPI Number           |    1578544235
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    Entity Type          |    Individual 
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    Provider Name        |    JOSEPH FRANKLIN BURTON JR. R.PH.,CFTS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/09/2005
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    Last Update Date     |    09/20/2010
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Provider Practice Location Address
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    Address Line         |    120 E LINDSAY ST 
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    City                 |    GREENSBORO
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    State                |    NC
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    Zip                  |    27401-3008
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    Country              |    US
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    Telephone            |    336-272-7139
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    Fax                  |    336-272-4779
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Provider Business Mailing Address
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    Address Line         |    120 E LINDSAY ST 
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    City                 |    GREENSBORO
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    State                |    NC
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    Zip                  |    27401-3008
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    Country              |    US
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    Telephone            |    336-272-7139
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    Fax                  |    336-272-4779
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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        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    5513
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    225000000X
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    Taxonomy Name        |    Orthotic Fitter
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    License Number       |    CFTS1099
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    License Number State |    NC
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