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General NPI Number Information
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NPI Number | 1720275274
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Entity Type | Organization
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Legal Business Name | JAMES H. BURNHAM, D.C., P.C.
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Dates
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Enumeration Date | 09/28/2007
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Last Update Date | 09/28/2007
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Provider Practice Location Address
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Address Line | 1836 OSBORNE RD
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City | SAINT MARYS
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State | GA
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Zip | 31558-9104
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Country | US
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Telephone | 912-882-4377
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Fax | 912-882-6232
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Provider Business Mailing Address
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Address Line | 1836 OSBORNE RD
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City | SAINT MARYS
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State | GA
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Zip | 31558-9104
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Country | US
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Telephone | 912-882-4377
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Fax | 912-882-6232
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. JAMES H. BURNHAM
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Credential | D.C.
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Telephone | 912-882-4377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 001150
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License Number State | GA
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