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General NPI Number Information
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NPI Number | 1649577420
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Entity Type | Individual
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Provider Name | HAYLEY R BURNETT MS, ACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/14/2011
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Last Update Date | 09/13/2024
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Provider Practice Location Address
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Address Line | 4000 MIAMISBURG CENTERVILLE RD STE 10
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City | MIAMISBURG
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State | OH
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Zip | 45342-7615
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Country | US
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Telephone | 937-384-4820
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Fax | 937-384-4826
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Provider Business Mailing Address
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Address Line | 1 PRESTIGE PL STE 550
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City | MIAMISBURG
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State | OH
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Zip | 45342-6115
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Country | US
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Telephone | 937-762-1310
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Fax | 937-384-4826
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | COA12195-NP
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | APRN.CNP.12195
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License Number State | OH
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