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General NPI Number Information
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NPI Number | 1386138501
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Entity Type | Individual
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Provider Name | ANUSHKA JAGDISH BURDE PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 06/20/2018
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 1 BOSTON MEDICAL CENTER
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City | BOSTON
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State | MA
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Zip | 02118-3549
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Country | US
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Telephone | 617-414-5905
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Fax |
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Provider Business Mailing Address
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Address Line | 30 CAMBRIDGEPARK DR APT 2105
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City | CAMBRIDGE
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State | MA
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Zip | 02140-2356
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Country | US
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Telephone | 208-406-2590
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | P7304
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | PH1000176
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License Number State | MA
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