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General NPI Number Information
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NPI Number | 1700094984
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Entity Type | Individual
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Provider Name | CHERYL DALYNDA VERA-BURKHALTER M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/19/2007
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Last Update Date | 03/23/2022
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Provider Practice Location Address
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Address Line | 3000 BLACKBURN ST STE 130
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City | DALLAS
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State | TX
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Zip | 75204-2217
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Country | US
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Telephone | 214-599-8624
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Fax | 214-559-9156
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Provider Business Mailing Address
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Address Line | 3000 BLACKBURN ST STE 130
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City | DALLAS
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State | TX
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Zip | 75204-2217
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Country | US
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Telephone | 214-599-8624
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Fax | 214-559-9156
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | M6441
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License Number State | TX
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