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General NPI Number Information
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NPI Number | 1083029482
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Entity Type | Individual
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Provider Name | KATHERINE BURLINGAME PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/24/2014
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 2646 W STATE ST
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City | OLEAN
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State | NY
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Zip | 14760-1866
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Country | US
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Telephone | 716-373-8870
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Fax | 716-373-8871
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Provider Business Mailing Address
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Address Line | 107 INSTITUTE ST STE 405
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City | JAMESTOWN
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State | NY
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Zip | 14701-6628
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Country | US
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Telephone | 716-484-4334
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Fax |
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 017598
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License Number State | NY
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