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General NPI Number Information
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NPI Number | 1700221314
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Entity Type | Individual
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Provider Name | MICHAEL CHRISTOPHER BURKE PT
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Gender | Male
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Dates
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Enumeration Date | 05/08/2013
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Last Update Date | 05/08/2013
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Provider Practice Location Address
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Address Line | 3710 LEE HWY
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City | ARLINGTON
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State | VA
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Zip | 22207-3721
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Country | US
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Telephone | 703-243-7640
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Fax |
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Provider Business Mailing Address
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Address Line | 214 W MAIN ST
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City | EVANS CITY
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State | PA
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Zip | 16033-1209
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Country | US
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Telephone | 724-766-5273
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT871432
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305206837
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License Number State | VA
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