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General NPI Number Information
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NPI Number | 1497893085
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Entity Type | Individual
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Provider Name | NICHOL B. BURCHFIELD PA-C
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Gender | Female
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Dates
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Enumeration Date | 02/03/2007
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Last Update Date | 11/29/2023
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Provider Practice Location Address
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Address Line | 17401 KY HIGHWAY 80 E
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City | ELKHORN CITY
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State | KY
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Zip | 41522-8226
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Country | US
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Telephone | 606-754-7100
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Fax | 606-754-0770
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Provider Business Mailing Address
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Address Line | PO BOX 2122
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City | PIKEVILLE
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State | KY
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Zip | 41502-2122
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Country | US
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Telephone | 606-422-4764
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Fax | 606-754-0770
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA559
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License Number State | KY
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