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General NPI Number Information
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NPI Number | 1083111462
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Entity Type | Individual
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Provider Name | ANDRZEJ JOZEF BURKAT MD
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Gender | Male
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Dates
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Enumeration Date | 04/11/2018
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 1020 N SAN FRANCISCO ST STE 200
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City | FLAGSTAFF
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State | AZ
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Zip | 86001-3281
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Country | US
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Telephone | 928-774-2300
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Fax | 928-214-2136
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Provider Business Mailing Address
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Address Line | 1020 N SAN FRANCISCO ST STE 200
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City | FLAGSTAFF
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State | AZ
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Zip | 86001-3281
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Country | US
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Telephone | 928-774-2300
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Fax | 928-214-2136
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 72957
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License Number State | AZ
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