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General NPI Number Information
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NPI Number | 1356331367
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Entity Type | Individual
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Provider Name | BRIAN BURKHOLDER D.C.
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Gender | Male
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Dates
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Enumeration Date | 10/21/2005
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Last Update Date | 01/14/2020
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Provider Practice Location Address
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Address Line | 18805 COX AVENUE SUITE #170
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City | SARATOGA
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State | CA
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Zip | 95070-4162
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Country | US
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Telephone | 408-364-6600
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Fax | 408-364-2041
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Provider Business Mailing Address
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Address Line | 22833 BOTHELL EVERETT HWY STE 202
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City | BOTHELL
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State | WA
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Zip | 98021-9368
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Country | US
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Telephone | 408-364-6600
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Fax | 408-364-2041
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH00034664
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC 27313
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License Number State | CA
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