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General NPI Number Information
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NPI Number | 1104740877
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Entity Type | Individual
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Provider Name | NORA ROSE BURCH WHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/06/2026
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Last Update Date | 08/06/2026
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Provider Practice Location Address
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Address Line | 920 WEST ST
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City | PERU
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State | IL
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Zip | 61354-2763
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Country | US
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Telephone | 815-431-0435
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Fax |
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Provider Business Mailing Address
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Address Line | 2013 4TH ST APT A
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City | PERU
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State | IL
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Zip | 61354-3208
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Country | US
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Telephone | 815-830-4699
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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 | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | 041472704
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License Number State | IL
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