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General NPI Number Information
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NPI Number | 1912867649
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Entity Type | Individual
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Provider Name | WILLIAM PEYTON BURWELL RBT
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Gender | Male
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Dates
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Enumeration Date | 11/14/2025
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 6017 WASHINGTON AVE
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City | OCEAN SPRINGS
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State | MS
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Zip | 39564-2648
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Country | US
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Telephone | 228-707-4417
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Fax | 228-678-7877
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Provider Business Mailing Address
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Address Line | 296 BEAUVOIR RD # 100-1311
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City | BILOXI
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State | MS
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Zip | 39531-4051
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Country | US
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Telephone | 228-707-4417
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Fax | 228-678-7877
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | 25-490926
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License Number State | MS
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