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General NPI Number Information
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NPI Number | 1366398315
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Entity Type | Individual
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Provider Name | MARC BURGEE
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Gender | Male
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Dates
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Enumeration Date | 03/10/2026
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Last Update Date | 03/10/2026
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Provider Practice Location Address
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Address Line | 8445 CONNOR
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City | CENTER LINE
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State | MI
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Zip | 48015-1727
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Country | US
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Telephone | 313-939-1496
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Fax |
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Provider Business Mailing Address
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Address Line | 8445 CONNOR
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City | CENTER LINE
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State | MI
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Zip | 48015-1727
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Country | US
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Telephone | 313-939-1496
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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 | 364SC1501X
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Taxonomy Name | Community Health/Public Health Clinical Nurse Specialist
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License Number | B620585067602
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License Number State | MI
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