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General NPI Number Information
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NPI Number | 1902850001
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Entity Type | Individual
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Provider Name | STEPHEN D BURTON MD
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Gender | Male
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 07/19/2018
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Provider Practice Location Address
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Address Line | 5500 DR MLK JR ST N
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City | ST PETERSBURG
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State | FL
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Zip | 33703-1204
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Country | US
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Telephone | 727-525-5500
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Fax | 727-821-7213
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Provider Business Mailing Address
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Address Line | 1839 CENTRAL AVE
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City | ST PETERSBURG
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State | FL
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Zip | 33713-8900
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Country | US
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Telephone | 727-322-1054
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Fax | 727-821-7213
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 30716
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME132906
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License Number State | FL
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