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General NPI Number Information
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NPI Number | 1902368814
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Entity Type | Individual
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Provider Name | MARISSA LEE BURNS MD
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Gender | Female
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Dates
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Enumeration Date | 04/01/2019
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Last Update Date | 08/09/2023
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Provider Practice Location Address
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Address Line | 9065 DADELAND BLVD
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City | MIAMI
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State | FL
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Zip | 33156-7905
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Country | US
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Telephone | 786-314-8690
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Fax |
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Provider Business Mailing Address
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Address Line | 9065 DADELAND BLVD
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City | MIAMI
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State | FL
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Zip | 33156-7905
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Country | US
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Telephone |
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Fax | 732-776-4798
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME161147
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License Number State | FL
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