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General NPI Number Information
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NPI Number | 1316327455
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Entity Type | Individual
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Provider Name | JENNIFER LEE BURKEY CRNP
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Gender | Female
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Dates
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Enumeration Date | 06/03/2015
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Last Update Date | 06/03/2015
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Provider Practice Location Address
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Address Line | 4401 PENN AVE
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City | PITTSBURGH
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State | PA
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Zip | 15224-1334
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Country | US
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Telephone | 412-692-8430
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Fax |
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Provider Business Mailing Address
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Address Line | 4223 CALVIN ST FL 2
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City | PITTSBURGH
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State | PA
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Zip | 15201-1116
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Country | US
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Telephone | 814-341-2478
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP014969
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | SP011848
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License Number State | PA
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