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General NPI Number Information
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NPI Number | 1538426960
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Entity Type | Organization
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Legal Business Name | B. A. BURKHART, D. D. S., P.C.
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Dates
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Enumeration Date | 04/23/2012
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Last Update Date | 04/23/2012
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Provider Practice Location Address
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Address Line | 25110 TELEGRAPH RD
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City | BROWNSTOWN
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State | MI
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Zip | 48134-1072
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Country | US
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Telephone | 734-783-5255
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Fax | 734-783-5228
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Provider Business Mailing Address
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Address Line | 25110 TELEGRAPH RD
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City | BROWNSTOWN
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State | MI
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Zip | 48134-1072
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Country | US
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Telephone | 734-783-5255
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Fax | 734-783-5228
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. B. A. BURKHART
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Credential | D. D. S.
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Telephone | 734-783-5255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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