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General NPI Number Information
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NPI Number | 1184745143
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Entity Type | Individual
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Provider Name | BRIAN EDWARD BURTCH M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 5105 SOM CENTER RD STE 106
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City | WILLOUGHBY
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State | OH
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Zip | 44094-4203
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Country | US
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Telephone | 440-266-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 17600 DETROIT AVE APT 610
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City | LAKEWOOD
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State | OH
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Zip | 44107-3440
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Country | US
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Telephone | 216-224-1467
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 35.089302
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License Number State | OH
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