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General NPI Number Information
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NPI Number | 1447261474
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Entity Type | Individual
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Provider Name | PAUL MICHAEL BURKAT M.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 01/31/2014
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Provider Practice Location Address
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Address Line | ONE MEDICAL CENTER BLVD.
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City | CHESTER
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State | PA
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Zip | 19013-3995
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Country | US
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Telephone | 585-469-1418
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Fax |
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Provider Business Mailing Address
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Address Line | ONE MEDICAL CENTER BLVD.
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City | CHESTER
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State | PA
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Zip | 19013-3995
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Country | US
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Telephone |
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 257392
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD448555
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License Number State | PA
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