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General NPI Number Information
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NPI Number | 1255573374
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Entity Type | Individual
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Provider Name | REBECCA CASEY BURKE M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/03/2009
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Last Update Date | 04/20/2025
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Provider Practice Location Address
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Address Line | 601 W SPRUCE ST STE K
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City | MISSOULA
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State | MT
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Zip | 59802-4047
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Country | US
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Telephone | 406-327-1950
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Fax | 406-327-3080
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Provider Business Mailing Address
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Address Line | PO BOX 31001-4110
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City | PASADENA
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State | CA
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Zip | 91110-4110
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Country | US
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Telephone | 406-329-5781
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Fax | 406-327-3331
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA09390100
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2012-00025
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | 0101266483
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 0101266483
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | MED-PHYS-LIC-138025
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License Number State | MT
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