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General NPI Number Information
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NPI Number | 1174336440
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Entity Type | Individual
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Provider Name | JOSEPH M BURKETT AGACNP
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Gender | Male
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Dates
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Enumeration Date | 01/29/2025
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 1111 E MCDOWELL RD
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City | PHOENIX
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State | AZ
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Zip | 85006-2612
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Country | US
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Telephone | 602-839-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 330 E PIERCE ST APT 2713
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City | PHOENIX
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State | AZ
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Zip | 85004-2889
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Country | US
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Telephone | 505-366-3312
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 275746
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 275746
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License Number State | AZ
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