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General NPI Number Information
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NPI Number | 1295799237
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Entity Type | Individual
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Provider Name | ROBERT M JURKO MD
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Gender | Male
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Dates
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Enumeration Date | 04/14/2006
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Last Update Date | 12/22/2009
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Provider Practice Location Address
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Address Line | 3101 AMERICAN LEGION RD SUITE 15
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City | CHESAPEAKE
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State | VA
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Zip | 23321-5655
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Country | US
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Telephone | 757-484-5516
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Fax | 757-484-7881
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Provider Business Mailing Address
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Address Line | 3101 AMERICAN LEGION RD SUITE 15
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City | CHESAPEAKE
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State | VA
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Zip | 23321-5655
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Country | US
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Telephone | 757-484-5516
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Fax | 757-484-7881
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101038158
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License Number State | VA
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