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General NPI Number Information
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NPI Number | 1760510465
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Entity Type | Organization
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Legal Business Name | BURRELL, INC.
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 02/01/2024
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Provider Practice Location Address
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Address Line | 3401 BERRYWOOD DR STE 101
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City | COLUMBIA
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State | MO
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Zip | 65201-6515
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Country | US
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Telephone | 573-777-8330
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Fax |
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Provider Business Mailing Address
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Address Line | 2885 W BATTLEFIELD ST
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City | SPRINGFIELD
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State | MO
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Zip | 65807-3952
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Country | US
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Telephone | 417-761-5000
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Fax | 417-761-5011
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Authorized Official
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Title or Position | VP, MANAGED CARE
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Name | AMANDA R CARTER
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Credential |
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Telephone | 417-761-5126
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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