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General NPI Number Information
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NPI Number | 1851502306
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Entity Type | Individual
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Provider Name | CHRISTOPHER RYAN BURNHAM D.C., B.S.
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Gender | Male
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Dates
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Enumeration Date | 05/25/2007
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Last Update Date | 01/10/2020
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Provider Practice Location Address
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Address Line | 330 N FEDERAL HWY STE 1
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City | LAKE PARK
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State | FL
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Zip | 33403-3531
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Country | US
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Telephone | 561-932-8275
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Fax | 561-516-8072
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Provider Business Mailing Address
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Address Line | 330 N FEDERAL HWY STE 1
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City | LAKE PARK
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State | FL
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Zip | 33403-3531
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Country | US
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Telephone | 561-932-8275
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Fax | 561-516-8072
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 0104556528
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH10080
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License Number State | FL
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