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General NPI Number Information
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NPI Number | 1811480825
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Entity Type | Individual
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Provider Name | JOSHUA RICHARD BURNS DDS
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Gender | Male
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Dates
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Enumeration Date | 06/13/2018
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Last Update Date | 06/13/2018
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Provider Practice Location Address
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Address Line | 4030 PARK BLVD N
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City | PINELLAS PARK
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State | FL
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Zip | 33781-3633
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Country | US
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Telephone | 717-614-8272
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Fax |
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Provider Business Mailing Address
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Address Line | 808 N FRANKLIN ST UNIT 3104
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City | TAMPA
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State | FL
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Zip | 33602-3855
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Country | US
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Telephone | 586-713-7612
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 23508
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License Number State | FL
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