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General NPI Number Information
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NPI Number | 1821328675
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Entity Type | Individual
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Provider Name | MICHELLE ANGELA BURNS N.P.
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Gender | Female
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Dates
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Enumeration Date | 12/29/2009
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Last Update Date | 12/29/2009
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Provider Practice Location Address
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Address Line | 2000 EMBARCADERO SUITE 400
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City | OAKLAND
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State | CA
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Zip | 94606-5334
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Country | US
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Telephone | 510-567-8108
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Fax | 510-567-8108
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Provider Business Mailing Address
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Address Line | 65 SANCHEZ ST APT 3
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City | SAN FRANCISCO
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State | CA
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Zip | 94114-1117
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Country | US
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Telephone | 415-867-4277
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 566021
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License Number State | CA
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