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General NPI Number Information
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NPI Number | 1164201844
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Entity Type | Individual
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Provider Name | HEATHER D BURKLEO APRN- CNP
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Gender | Female
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Dates
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Enumeration Date | 09/22/2023
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Last Update Date | 09/22/2023
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Provider Practice Location Address
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Address Line | 109 BOIS D ARC ST
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City | WHITESBORO
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State | TX
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Zip | 76273-1903
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Country | US
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Telephone | 903-564-3366
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Fax |
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Provider Business Mailing Address
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Address Line | 109 BOIS D ARC ST
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City | WHITESBORO
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State | TX
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Zip | 76273-1903
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Country | US
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Telephone | 903-564-3366
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1135937
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License Number State | TX
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