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General NPI Number Information
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NPI Number | 1689560278
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Entity Type | Individual
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Provider Name | CHASE SULLIVAN BURTON DDS
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Gender | Male
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Dates
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Enumeration Date | 06/18/2025
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 4502 CHARLOTTE AVE
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City | NASHVILLE
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State | TN
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Zip | 37209-3610
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Country | US
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Telephone | 615-647-8421
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Fax |
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Provider Business Mailing Address
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Address Line | 443 RIVERVIEW LN
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City | NASHVILLE
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State | TN
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Zip | 37207-3287
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Country | US
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Telephone | 615-785-7961
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 12880
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License Number State | TN
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