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General NPI Number Information
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NPI Number | 1316124530
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Entity Type | Organization
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Legal Business Name | BURKE MEDICAL PC
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Dates
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Enumeration Date | 01/30/2008
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Last Update Date | 01/30/2008
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Provider Practice Location Address
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Address Line | 438 W MOUNT AIRY AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19119-2946
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Country | US
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Telephone | 215-743-3131
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Fax |
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Provider Business Mailing Address
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Address Line | 2349 ORTHODOX ST
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City | PHILADELPHIA
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State | PA
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Zip | 19137-1130
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Country | US
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Telephone | 215-743-3131
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. MARGARET BURKE
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Credential | MD
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Telephone | 215-743-3131
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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 | MD025806E
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License Number State | PA
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