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General NPI Number Information
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NPI Number | 1780812842
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Entity Type | Organization
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Legal Business Name | BURNEY'S CLINIC INC.
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Dates
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Enumeration Date | 06/29/2009
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Last Update Date | 07/07/2010
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Provider Practice Location Address
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Address Line | 301 3RD ST STE A
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City | FARWELL
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State | TX
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Zip | 79325-4669
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Country | US
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Telephone | 806-481-1000
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Fax | 806-481-1005
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Provider Business Mailing Address
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Address Line | PO BOX 683 301 3RD STREET SUITE A
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City | FARWELL
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State | TX
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Zip | 79325-0683
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Country | US
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Telephone | 806-481-1000
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Fax | 806-481-1005
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Authorized Official
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Title or Position | OWNER/NURSE PRACTITIONER
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Name | MRS. MELINDA L BURNEY
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Credential | FNP
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Telephone | 806-481-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 675086
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License Number State | TX
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