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General NPI Number Information
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NPI Number | 1063041150
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Entity Type | Individual
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Provider Name | ANDREA MARIE BURCH FNP-C
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Gender | Female
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Dates
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Enumeration Date | 04/02/2020
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 10029 CLEVELAND AVE SE
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City | MAGNOLIA
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State | OH
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Zip | 44643-9781
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Country | US
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Telephone | 234-386-0306
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Fax | 234-386-0108
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Provider Business Mailing Address
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Address Line | 2600 7TH ST SW
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City | CANTON
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State | OH
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Zip | 44710-1801
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Country | US
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Telephone | 330-363-6242
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Fax | 330-453-4263
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.026447
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License Number State | OH
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