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General NPI Number Information
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NPI Number | 1801076450
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Entity Type | Organization
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Legal Business Name | JOHN A. BURPEAU, M.D., P.A.
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Dates
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Enumeration Date | 11/13/2007
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Last Update Date | 12/29/2020
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Provider Practice Location Address
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Address Line | 1200 BINZ ST STE 1130
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City | HOUSTON
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State | TX
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Zip | 77004-6926
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Country | US
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Telephone | 713-529-9268
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Fax | 713-529-9346
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Provider Business Mailing Address
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Address Line | 1200 BINZ ST STE 1130
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City | HOUSTON
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State | TX
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Zip | 77004-6926
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Country | US
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Telephone | 713-529-0543
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Fax | 713-529-9346
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | CYNTHIA SIMMONS
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Credential |
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Telephone | 713-529-9268
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | J4014
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License Number State | TX
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