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General NPI Number Information
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NPI Number | 1649406521
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Entity Type | Individual
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Provider Name | ASHLEY ERIN BURNS D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 06/04/2009
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Last Update Date | 01/16/2014
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Provider Practice Location Address
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Address Line | 4214 ANDREWS HWY STE 300
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City | MIDLAND
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State | TX
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Zip | 79703-4867
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Country | US
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Telephone | 432-697-3333
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Fax |
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Provider Business Mailing Address
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Address Line | 4200 GREENVILLE DR
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City | MIDLAND
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State | TX
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Zip | 79707-2100
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Country | US
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Telephone | 432-230-0367
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 0024643
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License Number State | TX
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