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General NPI Number Information
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NPI Number | 1275465346
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Entity Type | Organization
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Legal Business Name | ANGELA BURKE DENTISTRY LLC
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Dates
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Enumeration Date | 06/02/2026
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Last Update Date | 06/02/2026
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Provider Practice Location Address
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Address Line | 1471 CHESTER BLVD STE B
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City | RICHMOND
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State | IN
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Zip | 47374-1946
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Country | US
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Telephone | 765-962-4774
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Fax | 765-939-1531
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Provider Business Mailing Address
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Address Line | 1471 CHESTER BLVD STE B
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City | RICHMOND
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State | IN
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Zip | 47374-1946
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Country | US
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Telephone | 765-962-4774
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Fax | 765-939-1531
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Authorized Official
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Title or Position | DOCTOR/DENTIST
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Name | ANGELA G BURKE
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Credential | DDS
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Telephone | 765-962-4774
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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