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General NPI Number Information
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NPI Number | 1407045214
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Entity Type | Organization
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Legal Business Name | BURKI CHIROPRACTIC CENTER, INC., PS
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Dates
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Enumeration Date | 10/17/2007
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Last Update Date | 11/26/2007
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Provider Practice Location Address
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Address Line | 4423 POINT FOSDICK DR NW SUITE 310
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City | GIG HARBOR
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State | WA
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Zip | 98335-1797
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Country | US
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Telephone | 253-851-5900
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Fax | 253-851-5910
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Provider Business Mailing Address
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Address Line | 4423 POINT FOSDICK DR NW SUITE 310
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City | GIG HARBOR
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State | WA
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Zip | 98335-1797
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Country | US
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Telephone | 253-851-5900
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Fax | 253-851-5910
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Authorized Official
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Title or Position | CHIROPRACTOR/PRESIDENT
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Name | DR. JOHN WALTER BURKI
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Credential | D.C.
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Telephone | 253-851-5900
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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 | CH00033768
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | CH00033768
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License Number State | WA
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