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General NPI Number Information
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NPI Number | 1609417815
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Entity Type | Individual
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Provider Name | ARTHUR FARLOW BURT DDS
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Gender | Male
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Dates
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Enumeration Date | 09/30/2019
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Last Update Date | 09/30/2019
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Provider Practice Location Address
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Address Line | 7655 W GULF TO LAKE HWY STE 8
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City | CRYSTAL RIVER
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State | FL
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Zip | 34429-7910
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Country | US
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Telephone | 352-563-1860
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Fax |
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Provider Business Mailing Address
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Address Line | 20081 SE 115TH TER
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City | INGLIS
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State | FL
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Zip | 34449-4012
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Country | US
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Telephone | 727-580-1479
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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 | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number | DN24581
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License Number State | FL
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