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General NPI Number Information
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NPI Number | 1013709716
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Entity Type | Individual
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Provider Name | MORGAN LEA BURCH
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Gender |
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Dates
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Enumeration Date | 05/19/2025
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 5500 ARMSTRONG RD
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City | BATTLE CREEK
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State | MI
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Zip | 49037-7314
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Country | US
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Telephone | 269-966-5600
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Fax |
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Provider Business Mailing Address
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Address Line | 20682 BETSIE HIGHLAND DR
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City | INTERLOCHEN
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State | MI
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Zip | 49643-9176
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Country | US
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Telephone | 231-883-4397
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4901005898
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License Number State | MI
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