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General NPI Number Information
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NPI Number | 1033315650
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Entity Type | Organization
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Legal Business Name | ROBERT P. BURKE, M.D., P.C.
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Dates
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Enumeration Date | 06/21/2007
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Last Update Date | 06/03/2008
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Provider Practice Location Address
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Address Line | 1 OXFORD RD SUITE 200
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City | NEW HARTFORD
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State | NY
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Zip | 13413
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Country | US
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Telephone | 315-738-1820
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Fax | 315-738-7908
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Provider Business Mailing Address
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Address Line | 1 OXFORD RD SUITE 200
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City | NEW HARTFORD
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State | NY
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Zip | 13413
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Country | US
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Telephone | 315-738-1820
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Fax | 315-738-7908
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Authorized Official
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Title or Position | OWNER PHYSICIAN
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Name | MR. ROBERT P. BURKE
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Credential | M.D., P.C.
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Telephone | 315-738-1820
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 2142541
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License Number State | NY
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