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NPI Code Detail

MEDICARE: DAPHNE BURTON

MEDICARE: DAPHNE BURTON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1417767039
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAPHNE BURTON
Provider Business Mailing Address
First Line : 3840 MONA DR APT B
Second Line :
City : ZANESVILLE
State : OH
Zip : 43701-6170
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 833 JAMES ST
Second Line :
City : ZANESVILLE
State : OH
Zip : 43701-1404
Country : US
Telephone Number : 740-297-8859
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2025
Last Update Date : 01/08/2025

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Directions to “ DAPHNE BURTON ” Practice Location

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