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General NPI Number Information
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NPI Number | 1760376644
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Entity Type | Individual
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Provider Name | SETH JAMES BURMAN
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Gender | Male
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Dates
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Enumeration Date | 06/05/2025
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 3920 SPRINGFIELD RD
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City | GLEN ALLEN
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State | VA
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Zip | 23060-4119
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Country | US
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Telephone | 804-747-7472
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Fax |
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Provider Business Mailing Address
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Address Line | 1384 LOUDON ST
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City | HENRICO
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State | VA
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Zip | 23231-5613
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Country | US
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Telephone | 804-878-4928
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305217204
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License Number State | VA
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