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General NPI Number Information
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NPI Number | 1053554782
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Entity Type | Individual
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Provider Name | VICTORIA ELIZABETH BURKE MD
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Gender | Female
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Dates
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Enumeration Date | 04/10/2009
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Last Update Date | 12/05/2014
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Provider Practice Location Address
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Address Line | 1542 TULANE AVE RM. 331
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City | NEW ORLEANS
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State | LA
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Zip | 70112-2865
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Country | US
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Telephone | 504-568-5031
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Fax | 504-568-5553
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Provider Business Mailing Address
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Address Line | 1408 POPLAR ST
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City | METAIRIE
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State | LA
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Zip | 70005-1037
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Country | US
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Telephone | 504-481-1368
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | MD.206887
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License Number State | LA
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