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General NPI Number Information
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NPI Number | 1710949912
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Entity Type | Individual
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Provider Name | LORI DAVIS BURNS CRNP
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Gender | Female
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Dates
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Enumeration Date | 04/04/2006
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Last Update Date | 11/16/2020
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Provider Practice Location Address
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Address Line | 708 MONTGOMERY HWY
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City | VESTAVIA HILLS
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State | AL
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Zip | 35216-1836
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Country | US
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Telephone | 205-203-8282
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Fax | 205-203-8286
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Provider Business Mailing Address
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Address Line | 3980 COLONNADE PKWY
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City | BIRMINGHAM
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State | AL
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Zip | 35243-2382
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Country | US
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Telephone | 205-510-5000
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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 | 1-078713
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License Number State | AL
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