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General NPI Number Information
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NPI Number | 1932388196
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Entity Type | Organization
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Legal Business Name | ROBERT W. BURNS M.D., FACS PL
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Dates
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Enumeration Date | 10/24/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 521 W STATE ROAD 434 SUITE 306
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City | LONGWOOD
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State | FL
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Zip | 32750-4984
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Country | US
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Telephone | 407-388-0440
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Fax | 407-388-0397
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Provider Business Mailing Address
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Address Line | 521 W STATE ROAD 434 SUITE 306
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City | LONGWOOD
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State | FL
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Zip | 32750-4984
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Country | US
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Telephone | 407-388-0440
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Fax | 407-388-0397
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Authorized Official
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Title or Position | MANAGER
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Name | DR. ROBERT WILLIAM BURNS
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Credential | M.D.
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Telephone | 407-388-0440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ME90884
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License Number State | FL
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