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General NPI Number Information
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NPI Number | 1023135118
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Entity Type | Individual
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Provider Name | JILL LYNN BURGER PT
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Gender | Female
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 800 SPRUCE ST
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City | PHILADELPHIA
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State | PA
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Zip | 19107-6130
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Country | US
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Telephone | 215-829-3258
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Fax | 215-829-3375
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Provider Business Mailing Address
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Address Line | 315 CLEMS RUN
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City | MULLICA HILL
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State | NJ
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Zip | 08062-2853
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Country | US
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Telephone | 856-223-5134
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT009114L
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License Number State | PA
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