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General NPI Number Information
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NPI Number | 1649292079
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Entity Type | Individual
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Provider Name | JOHN N. BURLING M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 03/28/2012
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Provider Practice Location Address
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Address Line | 14 OKATIE CENTER BLVD. SOUTH SUITE 101
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City | OKATIE
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State | SC
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Zip | 29909
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Country | US
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Telephone | 803-358-6100
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Fax | 843-705-3828
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Provider Business Mailing Address
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Address Line | 811 WEST MAIN STREET
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City | LEXINGTON
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State | SC
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Zip | 29072
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Country | US
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Telephone | 803-358-6100
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Fax | 843-705-3828
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 043175
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 30355
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 043175
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 30355
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License Number State | SC
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