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General NPI Number Information
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NPI Number | 1891873097
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Entity Type | Individual
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Provider Name | WILLIAM HENDERSON BURROW DDS
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Gender | Male
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 02/24/2012
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Provider Practice Location Address
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Address Line | 450 NEW MARKET BLVD SUITE 2
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City | BOONE
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State | NC
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Zip | 28607-5494
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Country | US
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Telephone | 828-773-4212
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Fax | 828-265-2836
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Provider Business Mailing Address
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Address Line | 450 NEW MARKET BLVD SUITE 2
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City | BOONE
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State | NC
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Zip | 28607-5494
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Country | US
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Telephone | 828-773-4212
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Fax | 828-265-2836
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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 | 5478
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License Number State | NC
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