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General NPI Number Information
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NPI Number | 1184745523
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Entity Type | Organization
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Legal Business Name | WILLIAM BURCH, MD PC
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 03/06/2012
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Provider Practice Location Address
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Address Line | 2305 N BROAD ST
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City | PHILADELPHIA
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State | PA
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Zip | 19132-4504
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Country | US
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Telephone | 215-229-2022
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 134
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City | BALA CYNWYD
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State | PA
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Zip | 19004-0134
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Country | US
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Telephone | 215-477-5400
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Fax | 215-477-5440
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM BURCH
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Credential | M.D.
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Telephone | 215-477-5400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD013724E
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License Number State | PA
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