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General NPI Number Information
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NPI Number | 1316627847
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Entity Type | Organization
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Legal Business Name | DEIRDRE G BURKE DDS INC
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Dates
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Enumeration Date | 07/19/2023
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Last Update Date | 08/01/2023
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Provider Practice Location Address
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Address Line | 1077 TRANCAS ST
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City | NAPA
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State | CA
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Zip | 94558-2905
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Country | US
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Telephone | 707-254-7600
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Fax |
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Provider Business Mailing Address
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Address Line | 1077 TRANCAS ST
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City | NAPA
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State | CA
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Zip | 94558-2905
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Country | US
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Telephone | 707-254-7600
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Fax |
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | CHERYL HOEY
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Credential |
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Telephone | 707-254-7600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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