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General NPI Number Information
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NPI Number | 1063744019
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Entity Type | Organization
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Legal Business Name | RICHARD L. BURKEY, D.P.M., P.A.
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Dates
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Enumeration Date | 02/02/2010
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Last Update Date | 02/04/2016
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Provider Practice Location Address
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Address Line | 3509 FOREST AVE
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City | GREAT BEND
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State | KS
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Zip | 67530-3607
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Country | US
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Telephone | 620-793-7624
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Fax | 620-793-5281
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Provider Business Mailing Address
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Address Line | 3509 FOREST AVE
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City | GREAT BEND
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State | KS
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Zip | 67530-3607
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Country | US
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Telephone | 620-793-7624
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Fax | 620-793-5281
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Authorized Official
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Title or Position | OWNER
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Name | DR. RICHARD L BURKEY
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Credential |
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Telephone | 620-793-7624
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 213E00001X
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 315D00000X
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Taxonomy Name | Inpatient Hospice
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License Number | 213E00001X
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 213E00001X
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License Number State | KS
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