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General NPI Number Information
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NPI Number | 1558054668
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Entity Type | Individual
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Provider Name | SUNCERI MARIE BURKE MSN, AGACNP-BC, RN
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Gender | Female
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Dates
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Enumeration Date | 06/02/2023
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 1051 GAUSE BLVD STE 230
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City | SLIDELL
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State | LA
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Zip | 70458-2993
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Country | US
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Telephone | 985-641-7577
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Fax |
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Provider Business Mailing Address
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Address Line | 1514 JEFFERSON HWY
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City | NEW ORLEANS
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State | LA
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Zip | 70121-2429
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Country | US
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Telephone | 504-842-4000
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 104729
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5018308
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 237293
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License Number State | LA
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