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NPI Code Detail

MEDICARE: DANIEL BURAL

MEDICARE:   DANIEL  BURAL
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
1183700000XPharmacy Technician

General Provider Information

NPI Number : 1285334771
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL BURAL
Provider Business Mailing Address
First Line : 18064 VIKING WAY NW
Second Line :
City : POULSBO
State : WA
Zip : 98370-8306
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 253 HIGH SCHOOL RD NE
Second Line :
City : BAINBRIDGE ISLAND
State : WA
Zip : 98110-1627
Country : US
Telephone Number : 206-842-0127
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2023
Last Update Date : 03/06/2023

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Directions to “ DANIEL BURAL ” Practice Location

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