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General NPI Number Information
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NPI Number | 1649662891
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Entity Type | Organization
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Legal Business Name | BRITTANY ANNE BURKHART
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Dates
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Enumeration Date | 02/25/2015
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Last Update Date | 05/10/2022
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Provider Practice Location Address
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Address Line | 3841 EMERALD AVE
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City | LA VERNE
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State | CA
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Zip | 91750-2904
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Country | US
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Telephone | 93-010-1419
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Fax | 909-301-0141
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Provider Business Mailing Address
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Address Line | 3841 EMERALD AVE
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City | LA VERNE
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State | CA
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Zip | 91750-2904
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Country | US
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Telephone | 909-301-0141
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | DR. BRITTANY ANNE BURKHART
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Credential | D.C.
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Telephone | 909-301-0141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 33205
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License Number State | CA
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