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General NPI Number Information
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NPI Number | 1639429772
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Entity Type | Individual
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Provider Name | BARBARA LAUREN BURNS MPT
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Gender | Female
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Dates
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Enumeration Date | 09/17/2012
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Last Update Date | 01/22/2019
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Provider Practice Location Address
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Address Line | 5307 BROADWAY ST
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City | SAN ANTONIO
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State | TX
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Zip | 78209
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Country | US
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Telephone | 210-832-5400
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Fax | 210-832-5400
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Provider Business Mailing Address
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Address Line | 5307 BROADWAY ST STE 201
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City | SAN ANTONIO
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State | TX
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Zip | 78209-5743
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Country | US
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Telephone | 210-832-5400
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Fax | 210-832-5421
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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 | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | 1169387
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1169387
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License Number State | TX
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