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General NPI Number Information
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NPI Number | 1225375363
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Entity Type | Individual
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Provider Name | SUSAN M BURKE PHD, RN, CRNP
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Gender | Female
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Dates
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Enumeration Date | 01/09/2013
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Last Update Date | 01/09/2013
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Provider Practice Location Address
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Address Line | 225 COBBS CREEK PARKWAY
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City | PHILADELPHIA
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State | PA
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Zip | 19139
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Country | US
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Telephone | 215-476-2223
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Fax |
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Provider Business Mailing Address
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Address Line | 4034 N WARNER RD
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City | LAFAYETTE HILL
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State | PA
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Zip | 19444-1427
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Country | US
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Telephone | 610-772-3916
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | VP003691-D
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License Number State | PA
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