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General NPI Number Information
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NPI Number | 1033242615
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Entity Type | Individual
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Provider Name | GEORGE G. BURGLAND R.PH.
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Gender | Male
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1440 N HENDERSON ST
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City | GALESBURG
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State | IL
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Zip | 61401-1515
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Country | US
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Telephone | 309-344-2412
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Fax | 309-344-7859
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Provider Business Mailing Address
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Address Line | 20 HIAWATHA LN
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City | GALESBURG
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State | IL
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Zip | 61401-5502
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Country | US
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Telephone | 309-342-5470
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number |
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License Number State | IL
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