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General NPI Number Information
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NPI Number | 1053792341
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Entity Type | Individual
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Provider Name | BRANDI M BURBRINK AU.D
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Gender | Female
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Dates
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Enumeration Date | 06/12/2015
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Last Update Date | 02/19/2019
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Provider Practice Location Address
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Address Line | 275 QUARTERMASTER COURT
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City | JEFFERSONVILLE
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State | IN
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Zip | 47130-3669
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Country | US
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Telephone | 502-584-3573
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Fax | 502-515-3325
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Provider Business Mailing Address
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Address Line | 115 E KENTUCKY ST
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City | LOUISVILLE
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State | KY
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Zip | 40203-2793
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Country | US
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Telephone | 502-584-3573
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Fax | 502-515-3325
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 165266
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 166646
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License Number State | KY
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