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General NPI Number Information
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NPI Number | 1194530006
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Entity Type | Individual
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Provider Name | MADISON EMILY BURKE EMT, PT
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Gender | Female
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Dates
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Enumeration Date | 02/08/2025
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Last Update Date | 02/08/2025
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Provider Practice Location Address
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Address Line | 1000 HEMPSTEAD TPKE
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City | HEMPSTEAD
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State | NY
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Zip | 11549-0001
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Country | US
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Telephone | 516-463-6600
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Fax |
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Provider Business Mailing Address
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Address Line | 179 N BEECH ST
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City | MASSAPEQUA
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State | NY
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Zip | 11758-2606
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Country | US
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Telephone | 516-996-5835
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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