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General NPI Number Information
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NPI Number | 1659455293
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Entity Type | Individual
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Provider Name | JENNIFER L BURCH PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 2609 N DUKE ST SUITE 103
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City | DURHAM
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State | NC
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Zip | 27704-3048
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Country | US
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Telephone | 919-220-5121
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Fax | 919-220-6307
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Provider Business Mailing Address
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Address Line | 5815 JOMALI DR
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City | DURHAM
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State | NC
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Zip | 27705-7815
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Country | US
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Telephone | 919-220-5121
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Fax | 919-220-6307
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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 | 12100
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License Number State | NC
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