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General NPI Number Information
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NPI Number | 1164478830
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Entity Type | Organization
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Legal Business Name | BUR-KIE, INC
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Dates
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Enumeration Date | 05/25/2006
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Last Update Date | 12/20/2007
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Provider Practice Location Address
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Address Line | 544 GREENBRAE DR
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City | SPARKS
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State | NV
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Zip | 89431-3137
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Country | US
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Telephone | 775-356-3500
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Fax | 775-356-3550
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Provider Business Mailing Address
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Address Line | 544 GREENBRAE DR
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City | SPARKS
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State | NV
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Zip | 89431-3137
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Country | US
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Telephone | 775-356-3500
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Fax | 775-356-3550
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Authorized Official
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Title or Position | SEC/TREASURER
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Name | MR. EDWARD B MACKIE
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Credential | R.PH.
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Telephone | 775-356-3500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH02056
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License Number State | NV
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