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General NPI Number Information
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NPI Number | 1447333240
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Entity Type | Individual
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Provider Name | BRIAN PAUL BURKHART AUD
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Gender | Male
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2827 LYNDHURST AVE
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City | WINSTON SALEM
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State | NC
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Zip | 27103-4145
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Country | US
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Telephone | 336-765-9023
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Fax |
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Provider Business Mailing Address
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Address Line | 900 RIDGE GATE DR
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City | LEWISVILLE
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State | NC
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Zip | 27023-8616
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Country | US
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Telephone | 336-946-0689
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 2400
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License Number State | NC
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