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General NPI Number Information
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NPI Number | 1144945924
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Entity Type | Individual
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Provider Name | BARBARA ANN BURGER
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Gender | Female
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Dates
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Enumeration Date | 10/05/2022
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Last Update Date | 10/05/2022
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Provider Practice Location Address
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Address Line | 1410 E DOROTHY LN
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City | DAYTON
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State | OH
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Zip | 45429-3806
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Country | US
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Telephone | 937-294-0535
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Fax | 937-294-6282
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Provider Business Mailing Address
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Address Line | 309 WAYNE DR
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City | FAIRBORN
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State | OH
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Zip | 45324-5414
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Country | US
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Telephone | 937-432-8200
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03218063
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License Number State | OH
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