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General NPI Number Information
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NPI Number | 1659819688
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Entity Type | Individual
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Provider Name | JAMES BURROW JR. APRN-BC
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Gender | Male
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Dates
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Enumeration Date | 02/10/2017
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Last Update Date | 05/20/2024
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Provider Practice Location Address
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Address Line | 9550 HIGHWAY 412 W
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City | LEXINGTON
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State | TN
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Zip | 38351-5849
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Country | US
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Telephone | 731-968-1400
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Fax | 731-968-1003
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Provider Business Mailing Address
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Address Line | 974 SHACKELFORD RD
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City | BATES CITY
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State | MO
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Zip | 64011-8044
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Country | US
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Telephone | 816-695-1517
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2017004137
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 35841
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License Number State | TN
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