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General NPI Number Information
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NPI Number | 1689626954
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Entity Type | Individual
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Provider Name | TRACI R BURKE CRNA
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Gender | Female
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 07/22/2026
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Provider Practice Location Address
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Address Line | 1144 N ROAD ST
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City | ELIZABETH CITY
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State | NC
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Zip | 27909-3353
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Country | US
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Telephone | 252-335-0531
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Fax |
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Provider Business Mailing Address
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Address Line | 26 JARNAUL AVE
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City | ASHEVILLE
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State | NC
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Zip | 28804-2249
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Country | US
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Telephone | 828-242-5393
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 128100
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License Number State | NC
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