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General NPI Number Information
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NPI Number | 1780019513
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Entity Type | Organization
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Legal Business Name | BURTON'S HOME HEALTHCARE
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Dates
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Enumeration Date | 09/11/2013
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Last Update Date | 09/15/2013
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Provider Practice Location Address
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Address Line | 3924 S HOLDEN RD STE E
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City | GREENSBORO
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State | NC
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Zip | 27406-8866
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Country | US
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Telephone | 336-514-7344
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Fax |
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Provider Business Mailing Address
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Address Line | 3924 S HOLDEN RD STE E
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City | GREENSBORO
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State | NC
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Zip | 27406-8866
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Country | US
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Telephone | 336-514-7344
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. JACQUELINE DAWNETTE BURTON
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Credential |
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Telephone | 336-514-7344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | 263278
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License Number State | NC
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