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General NPI Number Information
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NPI Number | 1811956154
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Entity Type | Individual
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Provider Name | ELIZABETH A. BURNS M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/23/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2ND AVE. N. 100 MCCANNEL HALL,
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City | GRAND FORKS
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State | ND
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Zip | 58202-9038
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Country | US
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Telephone | 701-777-4500
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Fax | 701-777-4835
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Provider Business Mailing Address
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Address Line | MCCANNEL HALL, ROOM 100 2891 2ND AVENUE NORTH, STOP 9038
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City | GRAND FORKS
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State | ND
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Zip | 58202-9038
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Country | US
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Telephone | 701-777-4500
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Fax | 701-777-4835
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 9265
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License Number State | ND
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