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General NPI Number Information
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NPI Number | 1003982380
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Entity Type | Individual
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Provider Name | BEVERLY A PHIEL-BURKETT C.R.N.P
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Gender | Female
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 08/07/2015
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Provider Practice Location Address
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Address Line | 423 S WASHINGTON ST
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City | GETTYSBURG
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State | PA
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Zip | 17325-2526
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Country | US
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Telephone | 717-334-9259
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Fax |
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Provider Business Mailing Address
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Address Line | 1355 37TH ST 302
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City | VERO BEACH
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State | FL
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Zip | 32960-7320
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Country | US
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Telephone | 772-770-4888
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Fax | 772-770-0190
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | VP005573C
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 9375316
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License Number State | FL
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