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General NPI Number Information
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NPI Number | 1972744969
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Entity Type | Individual
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Provider Name | PATRICK BURTON
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Gender | Male
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Dates
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Enumeration Date | 03/20/2009
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Last Update Date | 03/20/2009
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Provider Practice Location Address
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Address Line | 802 MAGNOLIA AVE STE 208
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City | CORONA
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State | CA
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Zip | 92879-3104
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Country | US
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Telephone | 951-736-1630
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Fax | 951-736-8964
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Provider Business Mailing Address
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Address Line | 5000 CHESHIRE PKWY N
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City | PLYMOUTH
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State | MN
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Zip | 55446-4103
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Country | US
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Telephone | 888-333-9152
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Fax | 763-268-4240
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | HA1724
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License Number State | CA
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