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General NPI Number Information
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NPI Number | 1679612428
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Entity Type | Organization
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Legal Business Name | BURKE SPINAL CARE, LTD
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 11/14/2007
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Provider Practice Location Address
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Address Line | 2650 S MARYLAND PKWY SUITE A2
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City | LAS VEGAS
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State | NV
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Zip | 89109-1699
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Country | US
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Telephone | 702-735-0000
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Fax | 702-735-6906
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Provider Business Mailing Address
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Address Line | 2650 S MARYLAND PKWY SUITE A2
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City | LAS VEGAS
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State | NV
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Zip | 89109-1699
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Country | US
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Telephone | 702-735-0000
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Fax | 702-735-6906
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN LAWSON BURKE
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Credential | D.C.
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Telephone | 702-735-0000
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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 | B00447, B00319
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License Number State | NV
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