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General NPI Number Information
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NPI Number | 1700851557
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Entity Type | Individual
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Provider Name | GARY ROBERT BURMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/22/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 15035 EAST FWY SUITE D
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City | CHANNELVIEW
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State | TX
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Zip | 77530-4135
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Country | US
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Telephone | 281-457-0477
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Fax | 281-457-6238
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Provider Business Mailing Address
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Address Line | 15035 EAST FWY SUITE D
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City | CHANNELVIEW
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State | TX
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Zip | 77530-4135
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Country | US
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Telephone | 281-457-0477
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Fax | 281-457-6238
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | J1204
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License Number State | TX
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