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General NPI Number Information
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NPI Number | 1558552372
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Entity Type | Individual
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Provider Name | SUSAN DODDS BURKE RNBSN
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Gender | Female
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Dates
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Enumeration Date | 08/06/2007
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Last Update Date | 08/06/2007
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Provider Practice Location Address
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Address Line | 202 N MAIN ST
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City | CHALFONT
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State | PA
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Zip | 18914-2916
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Country | US
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Telephone | 215-822-3113
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 242 7362 SHAD LANE
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City | POINT PLEASANT
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State | PA
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Zip | 18950-0242
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Country | US
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Telephone | 215-297-8873
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Fax | 215-297-8873
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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 | 163WI0600X
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Taxonomy Name | Infection Control Registered Nurse
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License Number | RN235020L
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License Number State | PA
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