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General NPI Number Information
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NPI Number | 1649493370
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Entity Type | Organization
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Legal Business Name | EDWARD C BUREL DDS PC
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 01/05/2016
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Provider Practice Location Address
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Address Line | 34 BUCKMAN RD
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City | ROCHESTER
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State | NY
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Zip | 14615-1406
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Country | US
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Telephone | 585-254-1570
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Fax | 585-458-2700
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Provider Business Mailing Address
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Address Line | 34 BUCKMAN RD
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City | ROCHESTER
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State | NY
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Zip | 14615-1406
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Country | US
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Telephone | 585-254-1570
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Fax | 585-458-2700
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EDWARD C BUREL
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Credential | DDS
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Telephone | 585-254-1570
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 030811
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License Number State | NY
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