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General NPI Number Information
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NPI Number | 1326289257
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Entity Type | Individual
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Provider Name | WILLIAM CHARLES BURGETTE DO
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Gender | Male
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Dates
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Enumeration Date | 03/24/2009
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 6810 PERIMETER DR STE 200
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City | DUBLIN
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State | OH
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Zip | 43016-8013
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Country | US
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Telephone | 614-827-8700
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Fax | 614-827-8701
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Provider Business Mailing Address
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Address Line | 340 POLARIS PKWY
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City | WESTERVILLE
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State | OH
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Zip | 43082-7971
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Country | US
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Telephone | 614-545-7900
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Fax | 614-545-7901
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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 | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | 34-01-0419
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 34.010419
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License Number State | OH
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