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General NPI Number Information
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NPI Number | 1073612875
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Entity Type | Individual
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Provider Name | ERICA Z. BURKERT FNP
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Gender | Female
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 09/18/2009
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Provider Practice Location Address
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Address Line | 1 EAST MAIN STREET
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City | MARATHON
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State | NY
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Zip | 13803-0000
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Country | US
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Telephone | 607-849-3900
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Fax |
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Provider Business Mailing Address
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Address Line | 17 MAIN ST SUITE 302
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City | CORTLAND
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State | NY
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Zip | 13045-6606
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Country | US
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Telephone | 607-753-3797
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Fax | 607-753-6677
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | F330963
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License Number State | NY
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