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General NPI Number Information
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NPI Number | 1609443860
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Entity Type | Organization
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Legal Business Name | BURTON ANESTHESIA LLC
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Dates
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Enumeration Date | 06/07/2021
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Last Update Date | 06/07/2021
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Provider Practice Location Address
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Address Line | 3620 JOSEPH SIEWICK DR
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City | FAIRFAX
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State | VA
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Zip | 22033-1756
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Country | US
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Telephone | 703-264-7801
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Fax |
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Provider Business Mailing Address
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Address Line | 12423 ERICA HILL LN
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City | FAIRFAX
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State | VA
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Zip | 22033-4287
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Country | US
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Telephone | 480-338-2724
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CAROLINE SEXSON
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Credential | CRNA
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Telephone | 480-338-2724
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State |
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