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General NPI Number Information
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NPI Number | 1255845756
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Entity Type | Individual
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Provider Name | REBECCA CHARLOTTE BURKE WHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/21/2017
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Last Update Date | 11/21/2017
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Provider Practice Location Address
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Address Line | 10801 LOCKWOOD DR STE 300
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City | SILVER SPRING
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State | MD
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Zip | 20901-1562
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Country | US
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Telephone | 301-681-0004
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Fax |
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Provider Business Mailing Address
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Address Line | 5710 DETRICK RD
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City | MOUNT AIRY
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State | MD
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Zip | 21771-6132
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Country | US
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Telephone | 240-372-5014
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | R206652
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License Number State | MD
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