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General NPI Number Information
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NPI Number | 1548989577
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Entity Type | Individual
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Provider Name | VILMA M BURKE FNP
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Gender | Female
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Dates
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Enumeration Date | 08/23/2022
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Last Update Date | 12/13/2023
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Provider Practice Location Address
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Address Line | 270 E HUNT HWY STE 7
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City | SAN TAN VALLEY
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State | AZ
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Zip | 85143-4963
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Country | US
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Telephone | 480-616-4332
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Fax | 888-571-5915
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Provider Business Mailing Address
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Address Line | 3347 N SPYGLASS DR
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City | FLORENCE
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State | AZ
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Zip | 85132-7520
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Country | US
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Telephone | 480-616-4332
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Fax | 888-571-5915
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 279760
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License Number State | AZ
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