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NPI 1548646078

NPI 1548646078 : MARGARET EMMA BURCHIANTI DNP, ARNP, PMHNP-BC : CORALVILLE, IA

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General NPI Number Information
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    NPI Number           |    1548646078
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    Entity Type          |    Individual 
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    Provider Name        |    MARGARET EMMA BURCHIANTI DNP, ARNP, PMHNP-BC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/06/2015
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    Last Update Date     |    11/27/2022
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Provider Practice Location Address
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    Address Line         |    2180 NORCOR AVE STE D #201
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    City                 |    CORALVILLE
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    State                |    IA
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    Zip                  |    52241
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    Country              |    US
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    Telephone            |    319-600-6085
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    Fax                  |    319-409-6160
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Provider Business Mailing Address
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    Address Line         |    2180 NORCOR AVE., STE. D, #201 
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    City                 |    CORALVILLE
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    State                |    IA
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    Zip                  |    52241-9748
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    Country              |    US
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    Telephone            |    319-600-6085
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    Fax                  |    319-409-6160
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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        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    G129160
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    License Number State |    IA
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