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General NPI Number Information
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NPI Number | 1275144297
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Entity Type | Individual
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Provider Name | EMILY BURGER PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/13/2020
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Last Update Date | 08/13/2020
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Provider Practice Location Address
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Address Line | 1001 SAM PERRY BLVD
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-4453
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Country | US
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Telephone | 540-741-1100
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Fax |
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Provider Business Mailing Address
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Address Line | 10487 MALBORO RD
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City | MECHANICSVILLE
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State | VA
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Zip | 23116-3142
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Country | US
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Telephone | 309-533-0475
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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 | 1835P1300X
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Taxonomy Name | Psychiatric Pharmacist
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License Number | RPH-0016766
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 1835P1300X
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Taxonomy Name | Psychiatric Pharmacist
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License Number | 0202217694
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License Number State | VA
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