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General NPI Number Information
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NPI Number | 1902856818
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Entity Type | Individual
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Provider Name | RICHARD R. BURNS M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 10/20/2014
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Provider Practice Location Address
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Address Line | 3969 4TH AVE SUITE 300
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City | SAN DIEGO
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State | CA
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Zip | 92103-3165
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Country | US
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Telephone | 858-345-1809
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Fax | 619-688-2626
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Provider Business Mailing Address
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Address Line | 3969 4TH AVE #300
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City | SAN DIEGO
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State | CA
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Zip | 92103-3165
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Country | US
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Telephone | 858-345-1809
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Fax | 619-688-2626
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | G45246
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License Number State | CA
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