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General NPI Number Information
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NPI Number | 1659053064
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Entity Type | Individual
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Provider Name | ALLISON NICOLE BURKE
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Gender | Female
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Dates
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Enumeration Date | 08/04/2023
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Last Update Date | 08/04/2023
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Provider Practice Location Address
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Address Line | 21 STANHOPE ST # 23
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City | BOSTON
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State | MA
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Zip | 02116-5111
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Country | US
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Telephone | 617-375-7969
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Fax |
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Provider Business Mailing Address
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Address Line | 13 SHETLAND ST APT 219
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City | ROXBURY
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State | MA
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Zip | 02119-4209
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Country | US
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Telephone | 339-933-9846
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH241664
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License Number State | MA
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