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General NPI Number Information
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NPI Number | 1205787389
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Entity Type | Individual
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Provider Name | LINDA ANN BURNICK
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Gender |
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Dates
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Enumeration Date | 02/05/2026
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 13700 19 MILE RD STE B
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City | STERLING HEIGHTS
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State | MI
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Zip | 48313-2702
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Country | US
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Telephone | 586-939-3020
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Fax | 586-788-1797
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Provider Business Mailing Address
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Address Line | 2043 25 MILE RD
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City | SHELBY TOWNSHIP
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State | MI
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Zip | 48316-0941
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Country | US
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Telephone | 586-939-3020
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Fax | 586-788-1797
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DC005678
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License Number State | MI
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