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General NPI Number Information
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NPI Number | 1194637678
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Entity Type | Individual
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Provider Name | CRYSTAL H BURKS LPN
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Gender | Female
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Dates
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Enumeration Date | 09/21/2026
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Last Update Date | 09/21/2026
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Provider Practice Location Address
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Address Line | 129 MAYO ST
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City | HILLSBOROUGH
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State | NC
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Zip | 27278-2573
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Country | US
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Telephone | 919-910-2001
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Fax |
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Provider Business Mailing Address
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Address Line | 131 KUTTER DR
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City | ELON
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State | NC
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Zip | 27244-9680
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Country | US
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Telephone | 919-910-2001
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 91167
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License Number State | NC
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