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General NPI Number Information
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NPI Number | 1518100353
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Entity Type | Individual
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Provider Name | VICKIE S BURCH APN
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Gender | Female
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Dates
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Enumeration Date | 04/09/2009
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Last Update Date | 02/01/2024
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Provider Practice Location Address
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Address Line | 840 NW WASHINGTON BLVD STE C
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City | HAMILTON
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State | OH
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Zip | 45013-6381
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Country | US
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Telephone | 513-737-7246
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Fax | 513-737-6601
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Provider Business Mailing Address
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Address Line | 840 NW WASHINGTON BLVD STE C
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City | HAMILTON
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State | OH
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Zip | 45013-6381
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Country | US
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Telephone | 513-737-7246
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Fax | 513-737-6601
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 28183517A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 363LF0000X
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License Number State | OH
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