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General NPI Number Information
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NPI Number | 1700542743
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Entity Type | Individual
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Provider Name | KELSEY BURKE DC
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Gender | Female
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Dates
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Enumeration Date | 11/15/2021
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Last Update Date | 11/15/2021
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Provider Practice Location Address
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Address Line | 2130 W BELMONT AVE
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City | CHICAGO
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State | IL
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Zip | 60618-6990
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Country | US
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Telephone | 833-888-7677
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Fax |
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Provider Business Mailing Address
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Address Line | 1209 N STATE PKWY APT 10
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City | CHICAGO
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State | IL
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Zip | 60610-2234
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Country | US
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Telephone | 650-773-1077
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038.013783
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License Number State | IL
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