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General NPI Number Information
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NPI Number | 1316768807
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Entity Type | Individual
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Provider Name | STEPHANIE BURGER APRN
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Gender | Female
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Dates
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Enumeration Date | 10/18/2024
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 2726 FULTON DR NW
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City | CANTON
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State | OH
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Zip | 44718-3506
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Country | US
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Telephone | 330-455-5011
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Fax | 330-588-7127
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Provider Business Mailing Address
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Address Line | 5094 M ST NE
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City | MAGNOLIA
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State | OH
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Zip | 44643-8461
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Country | US
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Telephone | 330-806-6430
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN.CNP.0037767
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License Number State | OH
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