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General NPI Number Information
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NPI Number | 1386843233
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Entity Type | Individual
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Provider Name | ELIZABETH R. BURCKARDT ARNP
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Gender | Female
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Dates
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Enumeration Date | 07/12/2007
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Last Update Date | 06/21/2019
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Provider Practice Location Address
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Address Line | 401 E CHESTNUT ST UNIT 690
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City | LOUISVILLE
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State | KY
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Zip | 40202-5706
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Country | US
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Telephone | 502-852-5841
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Fax | 502-852-1359
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Provider Business Mailing Address
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Address Line | PO BOX 909
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City | LOUISVILLE
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State | KY
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Zip | 40201-0909
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Country | US
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Telephone | 502-852-5841
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Fax | 502-852-1359
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 3005218
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 3005216
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License Number State | KY
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