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General NPI Number Information
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NPI Number | 1124047345
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Entity Type | Organization
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Legal Business Name | BUX MONT GASTROENTEROLOGY ASSOCIATES, PC
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 06/30/2008
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Provider Practice Location Address
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Address Line | 1107 BETHLEHEM PIKE
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City | SELLERSVILLE
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State | PA
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Zip | 18960-1454
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Country | US
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Telephone | 215-257-3011
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Fax | 215-257-3437
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Provider Business Mailing Address
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Address Line | 1107 BETHLEHEM PIKE
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City | SELLERSVILLE
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State | PA
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Zip | 18960-1454
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Country | US
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Telephone | 215-257-3011
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Fax | 215-257-3437
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. JEROME M BURKE
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Credential | M.D.
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Telephone | 215-257-3011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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