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General NPI Number Information
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NPI Number | 1962553412
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Entity Type | Individual
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Provider Name | ALVIN C BURSTEIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 07/07/2021
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Provider Practice Location Address
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Address Line | 8687 E VIA DE VENTURA 316
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-3347
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Country | US
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Telephone | 480-905-8755
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Fax | 480-905-8851
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Provider Business Mailing Address
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Address Line | 8687 E VIA DE VENTURA STE 318
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-3351
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Country | US
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Telephone | 480-905-8755
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Fax | 480-905-8851
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | AZ20447
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 20447
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License Number State | AZ
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