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General NPI Number Information
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NPI Number | 1295913911
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Entity Type | Individual
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Provider Name | AMELIA LOUISE BURKE RPH
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Gender | Female
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Dates
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Enumeration Date | 02/05/2008
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Last Update Date | 02/05/2008
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Provider Practice Location Address
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Address Line | 2580 E HENRIETTA RD
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City | ROCHESTER
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State | NY
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Zip | 14623-4526
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Country | US
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Telephone | 585-321-2581
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Fax |
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Provider Business Mailing Address
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Address Line | 7644 HILLSIDE DR
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City | VICTOR
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State | NY
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Zip | 14564-8928
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Country | US
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Telephone | 585-924-0768
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 050057-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 10245-040
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5302025643
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License Number State | MI
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