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General NPI Number Information
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NPI Number | 1588721625
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Entity Type | Individual
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Provider Name | RODNEY V. BURBACH M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/01/2007
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Last Update Date | 11/08/2007
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Provider Practice Location Address
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Address Line | 5480 WISCONSIN AVE #220
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City | CHEVY CHASE
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State | MD
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Zip | 20815-3530
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Country | US
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Telephone | 202-483-2800
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Fax |
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Provider Business Mailing Address
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Address Line | 5630 WISCONSIN AVE #1004
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City | CHEVY CHASE
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State | MD
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Zip | 20815-4450
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Country | US
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Telephone | 301-951-0114
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Fax | 301-951-1830
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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 | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number | D0014396
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License Number State | MD
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