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General NPI Number Information
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NPI Number | 1780278374
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Entity Type | Individual
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Provider Name | MICHAEL BURNS PHYSICIAN ASSISTANT
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Gender | Male
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Dates
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Enumeration Date | 02/24/2021
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 19801 OBSERVATION DR
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City | GERMANTOWN
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State | MD
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Zip | 20876-4070
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Country | US
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Telephone | 301-557-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 27 FAIRBANKS DR
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City | GAITHERSBURG
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State | MD
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Zip | 20877-6356
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Country | US
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Telephone | 203-512-4669
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | C0008518
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License Number State | MD
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