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General NPI Number Information
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NPI Number | 1194370783
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Entity Type | Individual
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Provider Name | MEGAN ALYSSA BURK PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 08/09/2019
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Last Update Date | 01/26/2024
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Provider Practice Location Address
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Address Line | 1200 WRIGHT AVE
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City | ALMA
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State | MI
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Zip | 48801-1133
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Country | US
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Telephone | 989-463-3141
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Fax |
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Provider Business Mailing Address
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Address Line | 9580 E COLBY RD
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City | CRYSTAL
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State | MI
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Zip | 48818-9508
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Country | US
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Telephone | 989-620-0569
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501019228
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License Number State | MI
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