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General NPI Number Information
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NPI Number | 1982259891
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Entity Type | Organization
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Legal Business Name | RICHARD E BURRUS DC
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Dates
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Enumeration Date | 08/07/2019
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Last Update Date | 08/07/2019
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Provider Practice Location Address
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Address Line | 7407 N GENESEE RD
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City | GENESEE
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State | MI
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Zip | 48437-7722
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Country | US
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Telephone | 810-640-2300
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Fax | 810-640-2115
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Provider Business Mailing Address
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Address Line | PO BOX 218
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City | GENESEE
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State | MI
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Zip | 48437-0218
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Country | US
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Telephone | 640-230-0810
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Fax | 840-640-2115
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Authorized Official
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Title or Position | DC
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Name | RICHARD BURRUS
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Credential |
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Telephone | 810-640-2300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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