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General NPI Number Information
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NPI Number | 1275739765
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Entity Type | Individual
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Provider Name | ANDREW GARRETT BURKE M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/22/2007
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 1746 COLE BLVD STE 100
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City | LAKEWOOD
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State | CO
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Zip | 80401-3208
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Country | US
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Telephone | 303-914-8800
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Fax |
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Provider Business Mailing Address
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Address Line | 1746 COLE BLVD STE 100
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City | LAKEWOOD
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State | CO
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Zip | 80401-3208
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Country | US
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Telephone |
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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 | 2085D0003X
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Taxonomy Name | Diagnostic Neuroimaging (Radiology) Physician
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License Number | MD157964
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | CDRH.0073684
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License Number State | CO
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