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General NPI Number Information
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NPI Number | 1992771810
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Entity Type | Individual
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Provider Name | CHERYL R BURRUSS M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 11085 LITTLE PATUXENT PKWY SUITE 004
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City | COLUMBIA
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State | MD
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Zip | 21044-2983
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Country | US
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Telephone | 410-730-0185
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Fax |
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Provider Business Mailing Address
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Address Line | 16603 SEA ISLAND CT
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City | SILVER SPRING
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State | MD
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Zip | 20905-4086
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Country | US
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Telephone |
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | D39821
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License Number State | MD
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