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General NPI Number Information
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NPI Number | 1689780777
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Entity Type | Individual
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Provider Name | CHARLES REED BURK DO
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Gender | Male
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 11/01/2022
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Provider Practice Location Address
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Address Line | 5655 FRIST BLVD
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City | HERMITAGE
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State | TN
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Zip | 37076-2053
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Country | US
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Telephone | 615-316-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 1011 MONROE LN
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City | BRENTWOOD
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State | TN
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Zip | 37027-8481
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Country | US
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Telephone | 903-258-2996
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | E-11084
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | K9236
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | OS16017
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 3743
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License Number State | TN
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