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General NPI Number Information
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NPI Number | 1083286306
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Entity Type | Individual
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Provider Name | JOSHUA BLAKE BURCHELL DPM
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Gender | Male
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Dates
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Enumeration Date | 07/15/2021
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 202 ROSA LN
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City | FLORENCE
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State | AL
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Zip | 35630-1769
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Country | US
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Telephone | 256-776-4180
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Fax |
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Provider Business Mailing Address
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Address Line | 202 ROSA LN
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City | FLORENCE
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State | AL
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Zip | 35630-1769
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Country | US
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Telephone | 256-764-1806
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Fax | 833-973-2700
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 401
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License Number State | AL
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