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General NPI Number Information
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NPI Number | 1548187107
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Entity Type | Individual
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Provider Name | DAVID ERIC BURKHART
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Gender | Male
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Dates
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Enumeration Date | 07/02/2026
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Last Update Date | 07/02/2026
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Provider Practice Location Address
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Address Line | 901 MAIN ST
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City | OREGON CITY
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State | OR
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Zip | 97045-1818
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Country | US
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Telephone | 971-320-1828
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Fax | 503-212-6312
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Provider Business Mailing Address
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Address Line | 516 13TH ST APT 2
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City | OREGON CITY
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State | OR
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Zip | 97045-1607
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Country | US
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Telephone | 971-378-8809
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | 114800
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License Number State | OR
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