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General NPI Number Information
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NPI Number | 1942559356
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Entity Type | Organization
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Legal Business Name | FLOYD V BURTON M.D. INC
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Dates
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Enumeration Date | 08/30/2012
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Last Update Date | 08/30/2012
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Provider Practice Location Address
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Address Line | 414 G ST SUITE 106
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City | MARYSVILLE
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State | CA
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Zip | 95901-5663
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Country | US
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Telephone | 530-742-0242
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Fax |
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Provider Business Mailing Address
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Address Line | 414 G ST SUITE 106
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City | MARYSVILLE
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State | CA
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Zip | 95901-5663
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Country | US
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Telephone | 530-742-0242
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | LYNN MARIE COX
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Credential |
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Telephone | 530-742-0242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | G054506
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License Number State | CA
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