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General NPI Number Information
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NPI Number | 1184761959
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Entity Type | Organization
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Legal Business Name | STEVEN C BURKS MD & ASSOC INC
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 363 S BURNETT RD
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City | SPRINGFIELD
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State | OH
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Zip | 45505-2669
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Country | US
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Telephone | 937-206-4845
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Fax | 937-325-6605
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Provider Business Mailing Address
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Address Line | 363 S BURNETT RD
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City | SPRINGFIELD
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State | OH
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Zip | 45505-2669
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Country | US
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Telephone | 937-206-4845
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Fax | 937-325-6605
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN CRAIG BURKS
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Credential | M.D.
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Telephone | 937-206-4845
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35059708
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License Number State | OH
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