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General NPI Number Information
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NPI Number | 1053683870
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Entity Type | Individual
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Provider Name | ELENA BURKHART PA - C
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Gender | Female
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Dates
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Enumeration Date | 02/09/2012
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Last Update Date | 08/22/2024
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Provider Practice Location Address
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Address Line | 6830 ADRIENNE ARBOR DR STE 520
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City | SPRING
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State | TX
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Zip | 77389-2153
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Country | US
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Telephone | 409-789-2710
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Fax | 979-282-5727
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Provider Business Mailing Address
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Address Line | 920 MEDICAL PLAZA DR STE 520
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City | THE WOODLANDS
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State | TX
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Zip | 77380-3204
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Country | US
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Telephone | 832-562-3974
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Fax | 832-663-3978
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA07691
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License Number State | TX
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