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General NPI Number Information
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NPI Number | 1104883446
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Entity Type | Organization
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Legal Business Name | KERRI L BURGESS DC PC
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Dates
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Enumeration Date | 04/28/2006
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Last Update Date | 01/31/2008
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Provider Practice Location Address
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Address Line | 5745 N SCOTTSDALE RD #B100
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City | SCOTTSDALE
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State | AZ
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Zip | 85250-5902
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Country | US
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Telephone | 480-990-0004
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Fax | 480-990-3334
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Provider Business Mailing Address
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Address Line | 5745 N SCOTTSDALE RD #B100
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City | SCOTTSDALE
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State | AZ
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Zip | 85250-5902
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Country | US
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Telephone | 480-990-0004
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Fax | 480-990-3334
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KERRI L BURGESS
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Credential | DC
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Telephone | 480-987-6372
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 7547
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License Number State | AZ
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