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General NPI Number Information
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NPI Number | 1942397310
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Entity Type | Individual
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Provider Name | LAVONNE M BURROWS RN BC M-SCNS
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Gender | Female
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 10/17/2019
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Provider Practice Location Address
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Address Line | 101 SKAGGS RD STE 302
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City | BRANSON
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State | MO
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Zip | 65616-2062
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Country | US
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Telephone | 417-334-8288
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Fax | 417-334-6966
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Provider Business Mailing Address
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Address Line | 5342 S HOLLAND AVE
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City | SPRINGFIELD
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State | MO
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Zip | 65810-2628
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Country | US
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Telephone | 417-894-6592
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Fax |
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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 | 364SM0705X
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Taxonomy Name | Medical-Surgical Clinical Nurse Specialist
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License Number | 076456
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License Number State | MO
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