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General NPI Number Information
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NPI Number | 1154355006
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Entity Type | Organization
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Legal Business Name | DAVID J. BURKHARD, INC.
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 06/13/2008
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Provider Practice Location Address
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Address Line | 7110 S EAST ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46227-8517
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Country | US
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Telephone | 317-883-1476
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Fax | 317-883-1476
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Provider Business Mailing Address
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Address Line | 7110 S EAST ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46227-8517
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Country | US
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Telephone | 317-883-1476
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Fax | 317-883-1476
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Authorized Official
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Title or Position | VICE-PRESIDENT
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Name | JO ANNE BURKHARD
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Credential | LCSW
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Telephone | 317-883-1476
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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