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NPI Code Detail

MEDICARE: MS. ELIZABETH BURKE

MEDICARE: MS. ELIZABETH BURKE
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
1235Z00000XSpeech-Language Pathologist07263MD

General Provider Information

NPI Number : 1063853687
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ELIZABETH BURKE
Provider Business Mailing Address
First Line : 11150 RESORT RD
Second Line :
City : ELLICOTT CITY
State : MD
Zip : 21042-2050
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11150 RESORT RD
Second Line :
City : ELLICOTT CITY
State : MD
Zip : 21042-2050
Country : US
Telephone Number : 410-461-7070
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2013
Last Update Date : 07/11/2013

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Directions to “ MS. ELIZABETH BURKE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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