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General NPI Number Information
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NPI Number | 1649401209
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Entity Type | Organization
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Legal Business Name | PATRICK K BURKE, M.D., P.C.
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Dates
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Enumeration Date | 07/30/2009
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Last Update Date | 07/30/2009
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Provider Practice Location Address
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Address Line | 2227 PUMP RD
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City | RICHMOND
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State | VA
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Zip | 23233-3507
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Country | US
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Telephone | 804-754-3333
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Fax | 804-754-3380
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Provider Business Mailing Address
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Address Line | 2227 PUMP RD
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City | RICHMOND
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State | VA
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Zip | 23233-3507
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Country | US
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Telephone | 804-754-3333
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Fax | 804-754-3380
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Authorized Official
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Title or Position | PRESIDENT
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Name | PATRICK K BURKE
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Credential | M.D.
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Telephone | 804-754-3333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 0101019213
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License Number State | VA
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