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General NPI Number Information
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NPI Number | 1285167510
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Entity Type | Individual
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Provider Name | MARK BURGER
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Gender | Male
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Dates
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Enumeration Date | 04/04/2017
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 201 MONROE ST STE 2260
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City | MONTGOMERY
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State | AL
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Zip | 36104-3735
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Country | US
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Telephone | 800-729-0069
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Fax |
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Provider Business Mailing Address
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Address Line | 201 MONROE ST STE 2260
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City | MONTGOMERY
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State | AL
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Zip | 36104-3735
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | DO3253
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | DO.1883
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License Number State | AL
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